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PRE 2010 DOCSSUBJECT City of Fridley 32173.", AT THE TOP OF THE TWINS BUILDING PERMIT r ` RE O . • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. I; CITY HALL FRIDLEY 55432 "'' !!// NUMBER REv OATE PAGE OF AOPFIOvEO By 612-571-3450 910-F15 9/18/01 JOB ADDRESS 1015 Mississippi St NE 1 LEGALLOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED oescR. 2 2 Brookview Second Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phillip Podany 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Clover Field Homes LLC 551 W 78 St, Chanhassen MN 55317 952-443-3227 20292580 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 ❑X NEW ❑ ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 54' x 28' Dwelling and a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. Sewer & Water locations are obtained from the City Engineering Dept. WARNING SEPARATE PERMITS all util��i©catlolnsor REQUIRED FOR: 454-0002 HFAI REQUIRED BY LAW, ��UMRItNG, �GHs 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 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 $130,713 $65.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE METO VE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE , PROVISIO OF AN O E STATE OR LOCAL LAW REGULATING CON. $1,167.35 Fire SC 130.71 STR OR TH FO MANCE OF CONSTRUCTION ® PLAN CHECK FEE TOTALFEE Licens $5.00 ,518.41 S N4 U OF CONTRACTOR OR AUTHORIZEO AGENT 1 ATEI EN OPE LIDAT I$ I$ U PE 1 BLO I -SP - MATE SIGNATURE OF OWNER „F OWNER BwLOE R, IbArEI I. , • Ud r KuIt to I Y OF F R I DLEY TO 9524433820 P.04/&4 NEW Eftclive 111/2001 AMN [ ] CITY OF 10RID y (763) SVII-W04 Bldg Insp ALTER I ] SINGLE FAA 1L.Y AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 015 M*51y71PP I `5'T. FRID_MY , MAI Legal Description: LCT[' a !A& Z ikt7K►VtGet/ / owner Name & Address: PAILLl POD*AW Y Tel. ip_Wt2 7q1-45! a9 Contractor. CLOMm FIELID ROM U. C_ MN LICENSE #1.UzR Z54' Address:_ _ . 5�1 W65T '719" 5T. Gl'IAil11'V2W-- , INA! 5531? Tei. # - ZZ Attach to this application, a Certiticate of Survey of the lot, with the proposed construction drawn on it to scale, DESCRIPTION OF IMPROVEMENT LIVING AREA: Length _ Width _ 245 f Height. Sq. Ft1517— 83 = ii7AX GARAGE AREA: Length Width _ Z_� Height Sq. Ft. % X,Zo�. 63 : �'� 03�• DECK AREA: Length --�li� ,e Wdth _ _ .. Hgt(Ground Sq. Ft. OTHER: Construction Type: �j1 NCzL.0 fA* ^il Estimated Cost: Driveway gCurb Cut Width Needed: Ft, + 6 Ft @ Ft x IRATE: 15OI APPLICANT:VWf AND&k TeL'd5k J4 "V-27 CITY USE ONLY - Call (763) 672-3604 for Parmit Fes If mailing In applieWon Permit Fee $ /lG 7.3.E Fee Schedule on Reverse Side.. .. Fire Surcharge $ /34.71 .001 of Permit Valuation 0/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ D.DU $1150 per SAC Unit License Surcharge $ 6S—,,6g $5.00 (State licensed Residential Contractors) Driveway Escrow $ Aft. "A" or Alt. "B" Above Erosion Control $ $460.00 Conservation Plan Review Park Fee $ y .Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 0 .! ; -/Sl STIPULATIONS: TOTAL P.04 City of Fridley 6431 University Ave. NE Fridley, MN 554324383 763-571-3450 17 -Sep -01 Special Assessment Search And Statement of Charges TO: On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit: Parcel No: 13-30-24-23-0033 1015 MISSISSIPPI ST Lot: 2, Block: 2, BROOKVIEW 2ND ADD LEVIED SPECIAL ASSESSMENTS This is to certify that I have examined the records in the office of the Clerk, City of Fridley, Anoka County, Minnesota, and for such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of land: Term Certified Initial Interest Remaining Current Current Proiect Number Pro1ect Descrintion Type (Yrs) Date Amount Rate Balance Principal Interest 9100-0000-00 00 REG SA(Water/Sewer 3120 15 12/31/1960 $723.95 5.00% $0.00 $0.00 $0.00 6260-1966-03 01 ST-CG/SW 6600 10 07/19/1967 6260-1966-03 00 ST-CG/SW 6200 10 07/19/1967 Amount Certified to Anoka County Auditor for Current Year Taxes Is: $113.42 6.00% $0.00 $0.00 $0.00 $143.38 6.00% $0.00 $0.00 $0.00 $0.00 PENDING SPECIAL ASSESSMENTS For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. This is prior to the City Council adopting the final assessment roll. If you seek further information, you should do so upon your own independent inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately assessed. Term Initial Interest Estimated Proiect Number Proiect Description (Yrs) Year Rate Pending Amt. NONE MISCELLANEOUS FEES Description Status Date Fee Amt. NONE UTILITY CHARGES You shall be responsible to verify the status of any outstanding utility charges. To check utility charges ( water and sewer)Fcontact Fridley Utility Billing Department at 763-572-3529. The records referred to above are public and may be inspected by anyone during regular business hours. The search of these records was made by the undersigned as a public service on request. The undersigned certifies that the above indicated searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the accuracy of the above statements and does not assume liability for errors and/or omissions. The above figures are good through November 15, 20 Date Prepared: Monday, September 17, 2001 By Page 1 of 1 CITY OF FRIDLEY INSPECT iON DIV. 6431 University Ave NE Fridley, MN 55432 763-572-3604 Urinal Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: Effective On Jan 1, 2001 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash:-�'<<::::. Floor . > >f:: = : r • :. RX.., , Washer r Shower :'v¢ Tray itf'"`< Drain 8i:< _ NO. RATE TOTAL JOB ADDRESS �o/S %''� i 5S�sS i�✓�% S New Factures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range" Gas Dryer" Back Flow Preventer Required ( )Yes () No Type Gas I Elec $ 7.00 %f U v The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 �a ��� • . 20 O� $ 7.00 '�2. S ► � �.. C � $10.00 Owner $ 7.00 l $10.00 a-10 U Building Used As S / $10.00 C2.0 $10.00 Estimated Cost cl� PERMIT NO. $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge S _50 TOTAL FEE $_� a;' 0 f7� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. % c5c -- ZD PLUMBING COMPANY, SIGNED BY rpL.- to TEL NO. (0l.? -19Y9- 5°<$8 COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 manufacturers 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 manufacturers 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 manufacturers 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 INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK I% of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $10.00. . $ I®-00 $10.00. $ $10.00 $ $25.00," $ JOB ADDRESS I C� Effective On August 1, 1995 F i�k Lam. 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. a�8� //-o2 ; OWNER BUILDING USED AS ESTIMATED COST PERMIT NO.° ,DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) .-Trade-Name ) �in na Size No.G�,D� t 3 - -75 BTU , �] t� HP EDR Fuel Total Connected Load State Surcharge x,50 TOTAL FEE 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. Burner Trade Name Size No. BTU HP EDR HEATING COMPANY_ }6?t i (-e-�� % , �- Signed ByPtfO-A— Tel No. 5,A j t' `0CC1_5 0 le, 0 , Approved By Rough -In Date Final Elaie FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND PACK 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 B HEATING CO: Signed By: Date: rAW CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, `,IN 55432 • (612) 571-3450 - FAX (612) 571-1287 December 28, 2001 . Clover Field Homes 551 W 78 St Chanhassen, MN 55317 Re: Final Reinspection at 1015 Mississippi Street NE, Fridley, MN Dear Sirs: A final reinspection was conducted on December 28, 2001 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 2002. 2. Provide a hard surface driveway by June 15, 2002. The structure is approved for occupancy. We will expect the sod and driveway to be installed on or before the scheduled date and a reinspection called for. If you have any questions on this matter, please feel free to contact me at 763-572-3602. Sincerely, RJ/mh suBjECT ITN ' NO. City of Fridley (-mEc&PT_Iq6_ i'AT 33839 THE TOP OF THE TWINS BUILDING PERMIT r ��� COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE Or APPROVED BY CITY MALL FRIOLEY SS132 1 763-571-3450 910-F15 8/28/03 JOB ADDRESS 1015 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITIONSEE ATTACHED DESCR. 2 2 1 Brookview Second Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dave & Traci Tomas 1015 Mississippi Street NE 763-502-7750 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 ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x❑ B DESCRIBE WORK Construct a 16' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. MVI Ag 0111f1t)3t1 zoo"" suoilol /411an Ile J01 Ileo BUIBBip ejoleg ONINNYM a 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 ] 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 @ $3,179 $1.59 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 TOTALFEE 102.02 RE OF.QON7RACTOR OR AUTHnBL-� 4O AGENT iDATE� �.� EN PROPERLY VALIDATED THIS IS Y UR PER IT / %° — 'IV SIGNATURE OF OWNEROF OWNER SUROERi sOATEi 8 -NS� E NEW Vill,CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ' Construction Address: 0 6 1 �1� �o.��� NE Legal Description: Lo } ;2, , 66,k Owner Name & Address: Contractor L4L MN LICE Effective 1/1/2003 (763) 572-3604 Bl4g Insp (763) 571-1287 Fax, # ,.. Gel i 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: a Length Lo Width Hgt/Grousn1 9 - Sq. Ft.' /.2. OTHER: 1_79 Construction Type: Estimated Cost: $ — Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a3 APPLICANT ' �=� Tel. # Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ S a / 8 .001 of Permit Valuation (1/10th%) State Surcharge $ / , $.50/$1,000 Valuation SAC Charge $. $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ ZLI STIPULATIONS-