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PRE 2010 DOCSVMage ®f Frldlen,Ulan. I1To 249 o fcce of WSFFCT01% OF BUR DINGS � Architect Fridley, Minn. Builder LOCATION OF BUILDING "Part of Lot No. � `.''� Street ,�`/'�•.,� Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING Front Depth Height Stories Manner of Construction__T 63--e-A- �-'�-16 To be completed )�'r` --,. -1 / Estimated Cost r�� P To be used ash Permit is hereby granted to `n ` ,� �"�� �" - —19" % - '" - the buildin4• described in the above statement. This permit is grani upon the e- g ss condition thatpt a person t whom it is granted, and his agents, employees and workmen, in the work do� in, around and upon said tiding, or any part thereof, shall conform in all respects to the or nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildir within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of a ordinances. 41d°' Spector of Buiidin AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley the above permit, I hereby agree to do the proposed work in accordance with the descripti above set forth and according to the provisions of the ordinances of Fridley, and, being first di sworn, I hereby state and say that the facts stated by me and contained in the above permit true as therein stated. Subscribed and sworn to before me at Fridley, day of "'"; A .D. 19!E1 �j Minnesota, ;chis 53 -e4 -S-915.51 City of Fridley APplicalks for Phmbbg and Gan RttMg Pam* Dept. of Bldgs. Phone 980-M DESCRIPTION OF WORK Number, Kind and Location of Fixtures • future Connection Openings sewer * New Fixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ - New Fixture Old Opening .......... . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • x $2.00 ;- Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BT'U... ,.......... 1 x $5.00 6 5.00 iiiiiiii::iiiMMENNEMEMMEMEMON --- • future Connection Openings sewer * New Fixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ - New Fixture Old Opening .......... . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • x $2.00 ;- Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BT'U... ,.......... 1 x $5.00 6 5.00 REPAIRS A ALTERATIONS—Refer to Cod* Description............................................ TOTAL FEE = 5.00 TANSOM 1010 N. E. Mississippi Street City o1 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 alit the fact and representations stated in this application are true and correct Fridley, Minn 6-14-71 18, Owner Eugene R. Lindstrom Kind of Building Frame Res, Used as To be completed about 6-21-71 Estimated Cost, $ 10.00 OIMNew. Building Permit No. AV �nallo� Signed By Business Phone No ROUGH FINAL '7– Description L Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning. Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule '0G GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ 6 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ b Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH e FINAL ^�1 $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 560-3480 City of Fridley: The undersigned hereby makes application for a permit for the work herein, specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application O,re true ,and correct. Owner Kind of Building 1l4 -r r Used as To be completed about _3� Q Estimated Cost, $ Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or OWER PLANTS—Steam, Hot Water, Warm Air—No 4 Trade Name Size No f Capacity Sq. Ft. E.D.R BTU P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe By �j Business Phone No (REMARKS -OVER) SUBJECT Pfiag,T NO. City of Fridley 16334 AT THE TOP OF THE TWINS BUILDING PER M I T _ r ECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.337 7� 1 {CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/7/81 JOB ADDRESS 1010 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Moore Lake Highlands. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Eugene LundstrQm 1010 Mississippi Street n.E. 571-4361 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION fgl ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install steel siding on dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $4,000 $2.00 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- $44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $46.50 GNATURE OF CONTRACTOR OR ORIZED AGENT I D/AT1 ,WlRtN PROPERLY, VALIDATED THIS IS YOUR PERMIT BLDG INSP 0 TE SIGNATLff OF OWNER IIF OWNER BUILDERI DAT 1 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) OWNER: SBUILDER:rl ADDRESS: h/0 x�, , ADDRESS: TEL NO: � Z/ -- - - TEL NO: Construction Location STREET NO: 0 /0 STREET: LOT: :J BLOCK: _ 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 Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: �� �, Estimated Cost: $ ego Zb Be Oorapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE FSVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the cork -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 representa`t'ons�stated in this applicatio re true and corr c ta DATE: �// �J SIGNATUM: zz I_Zj4e_-L_x Stipulations: qq s-z�� �_n i E SUBJECT-=;25� City of Fridley AT THETOP OF THE TWINS BUILDI N G P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED BY = 1 CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 5/2/02 10B ADDRESS 1010 Mississippi Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 1 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gene Lindstrom 1010 Mississippi Street NE 763-571-4361 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. City Licens 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION .0 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace two windows within existing openings 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. Permit Inspection Cards Will Be Nailed To on 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 ] 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 @ $1.07 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,142 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- $83.25 Fire SC $2.14 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE City L e se $ .46 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE, EN OPE ALIDATEO�j IS IS YOUR PERMIT � J $-GNATURE OF OWNER ��F OWNER BU�I DERi iDATE� BLD NSP - ISA rt E CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE R-3, COMMERCIAL & INDUSTRIAL Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 CONSTRUCTION ADDRESS_ legal Owner & Addres 11 1 f -xiO lAv, CONTRACTOR & ADORE Architect TYPE OF WORK [] New Zoning G ,lam Tel# (72) 5V 4vl361 Tel# (15P) G 'G c -a SrKl. 14AI 5V%& , Reg.# Engineer Reg.# BUILDING CONSTRUCTION []'Addition [] Alteration-Oescrib OFC. AREA: Length Width- Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. � Sn "2 ' G'Td0oate3G�a // APPLICANT Tel # L :... _VALUATION Sq. Ft. x $ Cost/Sq: -Ft = ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: _(USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ANCY _ TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks va-vable to: City of Fridley Attach 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 on site; 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 PRINT NAME L If► n'E' �t>, GIS2,•19c) DATE APPROVED BY L-�� _ __ DATE BUILDING Permit No.: &g Building [nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 1) 763-502-4977 FAX EFFECTIVE 1-1-08 DATE \1 �' — G YOURE-MAIL ADDRESS SITE ADDRESS 10 / 43 ai I 11 S 5 1 S 5 THIS APPLICANT -IS—'. ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: ) 3 / ® M 1 SS 1 55 / P D t CITY �r STATBi� ZIP z PHONE: NAME: 5L✓ S r W �= ip ADDRESS: Sra y. a. I b4 S 5 w" 6 51 CITY ,n\ I n t-. , STATEVV�\ ZIP S SA. CONTRACTOR SUBMIT A COPY OF PHONE L� I a - �_ o C, / t FAX YOUR STATE LICENSESTATE LICENSE # b S"`I S- H 2 � EXP DATE PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF [IDRAIN TILE ❑ DECK IDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY S BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES O SHOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE:_ n1 DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING I ' p inyl It ❑Soffit ADDITIONS. & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures ❑ Aluminum r, IS b t' f] ❑ Trim ❑ Fascia and proposed project ❑ Other 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS a OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: _(USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ANCY _ TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks va-vable to: City of Fridley Attach 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 on site; 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 PRINT NAME L If► n'E' �t>, GIS2,•19c) DATE APPROVED BY L-�� _ __ DATE