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PRE 2010 DOCSVillage of Fridley, BUmn. BUHM]ING PERMIT 11T® 521 Office of INSPECTOR OF BUILDINGS Y� Fridley, Minn., av LOCATION OF BUILDING l* -lo. Al2/0 Street y J"4:6 ti �'#� Part of Lot �wif a Lot Block Addition or Sub -Division >G ,,lDE CRIP�CN OF BUILDING Frontam�,,�„+"L Depth�� Height Stories___ __ bsanner Y Construction To be used asg�/jid To be completed '�! Estimated Cost Permit is hereby granted the building I 11�4)'a described in the above statement. This permit is upon the express condition that the person to whom it is granted, and his agents, employees and workmei the work done in, around and upon said building, or any part thereof, shall conform in all respects to tl nances of Fridley, Minn., regarding the construction, alteration, maintenance,. repair and moving of b within the city limits, and this permit may be revoked at any time upon violation of any of the provisions ordinances. aat!"*�'" Inspector of Li AGREEMENT AND SW®RN STA=1ENT Inconsideration of the issue and delivery to me by the Inc-pector of Buildings of Fri( the above permit, I hereby agree to do the proposed work in accordance with the dese above set forth and according to the provisions of the drilL.-.nces of Fridley, and, beim; fir; sworn, I hereby state and say that the facts stated by me and contained in the above perr true as therein stated. �' � . Subscribed and sworn to before me at Fridley, Minnesota, thin day o�"� .D. 19 f Ar.'Ect"l'nw7111= C "utiL& ripC^eAiis, �= .a D`i"4vL..3 PARTIAL RATE SCHEDULE GRAVM WARM AIA: 7L%:1 TOTAL ru:rnace Shell & Duct Work $10.00 S Rep:a^a-nert of F urea -e 6.00 $ P.cpa:-c & Altcrat.ors--up to 5500.00 6:X3 $ Repairs & A:tera;fons each add. 5500.00 3 W $ 34E0i WARM AM 7ls ce Shell & Duct Work to 120,000 BTU 51000 8 etch add. FA,Q00 BTU 3.UU S es Repbwenent of rurnace 6.00 5___ Ferairs & A'tP*ations---up to 8500.00 6.00 $ Re -airs & Alterations each add. $SX.00 3.0'J $ STEAM as HOT WATER SYSTEM Firste Shell & Lines— to 4:'0 sq. ft F.DR Steam V000 S Furnace Shell & Line --to 640 sq ft. EDR Hot Water 1000 S. Each add 200 sq. ft. EDR Steam 3 on $ Each add. 320 sq. ft EDR Hot Water 3.00 S OIL BUENER—to 3 gal. per hour 6.00 S. over 3 gal. per hour—See Fee Schedule GAS BURNER (up to M,OW BTU) 5.00 orrer 129.000 BTU So* Fee Schedule GAS FITTING FEE3. NO RATE TOTAL lst 3 Fixtures xS 200 S A 60 Additional Fixtures x .76 8__. Gas Rare to M.fO0 z5 8.00 5 State Surchargeca .50 AIR �or:Iolxro= �---. �� 1,6 � a FAN F=_ATINs 3 T 3Tt14 S*Q res Scb�:ie 3Y3T'r� ALTZRATI ON a Its F.c' . koroRS TOTAL 'a' BOUGH rn:AL !-oft-77 a?rrt. o$1311g3. Phtirw ,'rim-34ZO s Lor d 01 J*1 City of Fridley: The undersigned heretiy makes application for a permit for the worts here; spec:fit•d agrteirg to do all work :n strict accordance with the City Cird�a :c1 and rul;nr of the Depat tment of Buildings, and hereby decL^res that all the fac and rep r-.-sPntabuns stated in this application are true and correct. Fridley. Minn 7' a (i — 7 S'_1t Owner v Kind of Building . -!� ,in ,� �, Used as To he compleleri about Estimated Cost; S /5— Old- 'ew. Building Permit No. Permit No._ --t! DF:.' -=---,1021 OF WOItx IMA.77NG or POWER PLAN7r$-,11-'fearn, Hot Water, WNo Trade Name Size'No ;20t Capacity_. _. _ Sq. Ft E.D.R � �C �,1 BTU X Total Connected Land—__— Bind of TUU BURNER — Trede Name �� Size No/5zor Lip Q Capacity Sip. FL E.D R BTU E tte;Ms222—ova23 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE , ` 11210 GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ O facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 4.00 $ $ _ 17 e Fridley, Minn_ . 19_ Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: OWNER u� Boiler & Lines up to 100,000 BTU $12.00 $ KIND O BUILDINGS each addn. 50,000 BTU 4.00 $ Jn Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ® ESTIMATED COST �(o GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $j 6 0 OLD NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $- �q \/ GAS FITTING FEES: — 1st 3 Fixtures x $ 3.00 $ 00 DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air No. AIR CONDITIONING d /01, $--�— j — —%�j� �'.r Trade Name �7/�%fG'�l�'1 Size No. 3 FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS $ Capacity Sq. Ft. EDR BTU HP ALTERATIONS $ REPAIRS _ ) State Surcharge $ $ 50 ,( Kind Fuel TOTAL FEE Total Connected Load of IL / �/ Size No. /o? i, Pc'li) BURNER - Trade Name ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) Company_ FINAL INSP. A-/ 3 -2E Date,fir y Signed By APPROVAL FOR PERMIT/ 9!`y. �� Tel. No. / MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 J SUBJECTr2308 of Fridley ePERrCity AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT N0. � • COMMUNITY DEVELOPMENT DIV. ; ,:------, r PROTECTIVE INSPECTION SEC. d 1 . � CITY HALL FRIDLEY 55432 �•' NUMBER REV. DATE 9/4/73 PAGE OF APPROVED BY ---- 612-560-3450 910-F15 JOB ADDRESS 1210 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Moore Lake Highlands 1st Addn SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE J M Randall 1210 Mississippi Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION Y] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add 8 feet x 222 feet to existing garage 9 CHANGE QF USE FROM TO STI PU LATIGNS TYPE CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, WOOd frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. 180 Cu. F AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION l��UO 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 $1,000 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- 6400 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $6.50 ,, - SIGN, RE OFC NTRACTORORAUTHORIZEDAGENT (DATE) HEN P OPERLY VALIDAT THI YOUR-PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) DATE w J APPLICATION FOR RLSIDENTIAL, ALTERATION, OR ADDJTJON BUILDING PERMIT CITY OF 1-1:1 DLLY , %1I NNESO'TA OWNER'S NAME UILDER •�, Y �n L n ADDRESS: ADDRESS: STREET: TAT: BLOCK: ADDITION:] T" CORNER LOT: INSIDE LOT: SETBACK; SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be used As: - `1 c2 f ont• Depth: JHeight• /O Square Feet: 1,f67aa, Cubic Feet: 4,F(-)0 Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:_ Estimated Cost: $ % 0 © 0 To Be Completed:13 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stticL accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that .i11 the facts and representations stated in this application are true and correct. ;7 DATE: C�� / �- �-� S [(;,NATURE: (See Reverse Side For Additional Information.) F SUBJECT PERMIT NO. City of Fridley 26 04 7 AT THE TOP OF THE TWINS BUILDING PERMIT r , RE NO. COMMUNITY DEVELOPMENT DIV. r I v PROTECTIVE INSPECTION SEC. a� NUMBER REV GATE PAGE OF APPROVED BY .CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/13/98 JOB ADDRESS 1210 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Moore Lake Highlands 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe/Vivian Randall 1210 Mississippi Street NE 574-1210 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PTL Contracting 2526 N Ferry St, Anoka, MN 55303 323-7400 5294 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (32 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $1.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,668 DOES NO PRESUE TO GI UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P80VIS11 N OF AMY OTH TATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.67 STRUC 10 OR THE EtAFKAANCE OF CONSTRUCTION. PLAN CHECK FEE T ALFEE LicensWIq $5. $83.75 SIGNAT EOF c6NTRAC4P OR AUTHORIZED AGENT IDATEI ERO VAL DA ED THIS IS YOUR PERMIT e-L--Oi G INSP MATE _ SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI F NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 p 1 0� BUILDING PERMIT APPLICATION ConstructionAddress: f egal Description: Owner Name & dress: 1 r Tel. # �7 `rl /l-2 l a Contractor: � MN LICENSE Address: —2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT Tel. # 3 --- �; -7 `1� LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq.Ft. OTHER: tS °- / - t,l. S r r1_5 Construction Type:61, Estimated Cost: $ (Fee Schedule on Back) driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ )ATE: ✓� �j APPLICANT: Tel. 'ermit Fee ire Surcharge ;tate Surcharge ;AC Charge ',icense Surcharge -)riveway Escrow erosion Control lark Fee )ewer Main Charge TOTAL I TULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] From: 6517770437 Page: 212 Date: 12/28/20091:25:01 PM Building PLUMBING Permit No.VWU 01 U1 Inspections RESIIDENMAL "PLICATION Received By 763-572-3604 CITY FRII)LE� D 763-502-4977 FAX ' EE CINE 2-19-09 DATE Ts IZ- Z [i YOUR B -MAIL ADDRESS SITEADtIRFZS t5 i rru5Y11Ca�rC6rCi'�r4i11Y+�.CalYt THIS APPLICANT IS: QwNER )�tONTRAC'TOR PR.OFERTY xAME: .tom . d j OWNER% ADDRRSS: k; •l C7 ir14s a5t r TENANT CITY U4STATEhj) 7,IP5, j° PHONE:_, p SUBMIT A COPY OF rT1 �l _ BA CH SINKA AV BATFrrUD YOURSTATE STATE LICENSE(!_ Ci(pI�D(jL��M FXPDATE )LICENSE, BOND AND STATE BOND # — POpi.. CLOSET CURTir•(CATB OF INSURANCE ADDRESS: EXP DATE CITY L�_r-FiieCcrtr�cL „WATER HEATER ($&5) PHONE { ^ -I - 0441k- FAX GAS I -1-7 - -A_ WATER METER OT HF..R PERMIT TypE *SINGrF. FAMILY Q TWO I''AMTLY ❑ TOWNHOUSE. TYPE OF WORK: )<NRW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK FE S ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NUTEn, $35 50. FIXTURF..S: (INDICATE TOTAL NUMBER OF FACTI BELOW), MINIMUM FI r _ BA CH SINKA AV BATFrrUD —FIXOR DRAINS GAS PIPING (NEED ,21't'Y TdC) SNOWRR SWIMMING SWIMMING _ WAT73P� PIPING PIPING _ CLOTHES WAST•IER _ xrrCMJN SINK — POpi.. CLOSET _ WATER (S35) WATBArU rNERPREV ntSIIWASFt1;R _ LAUNDRY TRAY „WATER HEATER ($&5) (35) _ LOW FOR IRRIGATION -A_ WATER METER OT HF..R --` ..!i�r:�� ,ii: 'u.'A. iii�'�:1�,:4 �a•.:. p,�,{;aj� �,y�;l ;•1�,•;,.:::(" + .: <.; . h„ ..,i:, :.,tg+ ��Ms"M „s.:.; . k �;�:is'.!;?3:•:.:. �?� �i.rt:Jr'1`y":'t;y� :"d� ��1(ji:�lY N'��lii:'��'�c'{,iq vJN°4"-. , �'�,�`�� G:MI�'•�M�'�+u:i4::: THIS IS AN APPUCA!TTQN FOR A PERMIT -NOT VALID UNTIL PROCESSED T hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in coRLlOYmance with the ordinances and codes of the Cit)' of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application far a permit and work is not to start without a permit on Site; that the work will be in accordance rdance with the approved plan in th so , allwo which re+luires .review and approval of plans. f SIGNATURE OF APPLICA PRTNT NAME V Gc#1 IL !rZCtL k,,,- 1) TE Id2_�j City of Fridley Building Inspections Department ()431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAK 763-502-4977