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PRE 2010 DOCSV Application for Power Plants and Heating. Cooling, Ventilation, Advigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace §.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs &Alterations each add. $500.00 ............... 2.50 $ StEAM or HOT WATER SYSTEM .I Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ G �/ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ G 0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ �� C, Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH- OUGH FINAL— FINAL Location /3 f / /,V/ SS/ 5smoo/ - W 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 are true and correct. Fridley, Minn. G , 19 Owner T j�OogA * Kind of Building ���T:4 Used as A4-;,,� To be completed about 1 / !gG Z Estimated Cost, $ 4@W—New. Building Permit No. v Permit No. DESCRIPTION DESCRIPTION OF WORK HEATING a Hot Water, W No Trade Name i �r I c vif S Size No- g5'n Capacity Sq. Ft. E.D.R�-5 U BTU H.P. Total Connected Load 7Z 6f4Aind of Fuel BURNER —Trade Name /�i�/%4s�- �✓� S Size No 666 Lw Capacity Sq. Ft. E.D.RTU H.P. 1 (REMARKS—OVER) By OQ 4 a 2M 7-59 Business Phone No City of Fridley, Ninn.. BUILDING PERMIT N° 5 4 2JO' Date: Owner: Builder �. Address Address LOCA PUOF BUILDING No. ,XW Street L ___ _ _ _ _ Pari of t Blo Addition or Sub -Division , Corner Lot _ Inside Lot ai Setback ____ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth Height Sq. Ft. Cu. Ft. DepthHei�� Cu. Ft Type of Constructiono� Est' � o pleted In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the dts of Fridley►. In consideration of the payment of a fee of $-W-�+""" , 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said Ordinances. .-. ,'-� Building Inspector NOTICE This permit does not cover the construction, installation Icor whing, plumbing, Bas heating, sewer or water. Be sure to we the BuNing Inspector for separate permits for these Items, 4 Land Ploanmy Landsurveyiny 6875-H� �h f Sods 7eslriY9 Minneo�o/s 2/, Ciw/ 6 Alunicipo/ ENGINEERING , t �t C. d'lnnrsol. En�ii�eer�n9 - — EnTneers Sur vey ors sun�lQ 60 ce,wt� Jicate of e7 fox, ; r------ 4 _. ✓.� S. s ? ' 1 1 / j 7L LI /hereby cerirry f/ro} &s is o Prue and toriec} represenfotiagFo ¢serve /otQlion o�'o// bei/drn9S , (hereon y/hC borintiories 'flee abere 4 -,doll o// risible eiTcr ovcfirnenfs , �`oo rain or a7 so, "fid /orrd, and 1r //and. As sunve�ed 6y me oris_ � a � APPLICATION FOR BUILDING PER11IT CITY OF FRIDLEY, MINNESOTA Owner I s Name 1� l c �+ A ��� 1 �® cP �� i Builders F d- �/9 fO® /�� a�!-/OV C . Address , f e3 g'/ tWi-s 5. S7--, *. Address / V3,2 J,'P'0"V% A16. LOCATION OF BUILDING No. Street M i 5,5 -/ s S `XPi S 7 -,OV- G- Part of Lot Lot Block / Addition or Subdivision - /ZA Corner Lot _Inside Lot Setback 5�fSide-Yard 19' SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BU31DING Front 3 - Depth Hein Sq. Ft./gr 4 a Front` Depth Aeight Sq. Ft. Cu. Ft. Type of ConstructionJi;6'e,y q'0AI&C ,j4Wz-F Estimated Cost To be Completed 1 ®�- / 9 6 -0- 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 are true and correct. ^ DATE -64 -20 : i 17 4, / SIGNATURE— (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gin RMng Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures go N U' W O • F • N WATER M. GAS ELEC. Base 1st x x x X 2nd _ 3rd 4th • Futuro Connection Openings I New Fixture. Old Openings Connected with Sewer Cesspool `El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................� x $1.50 $ Q ,l 0 Future Fixture Opening ................ x 1.20 $ a0 New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Beater (Up to 200,000 BTU) ......�Z x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... $1.50 -- - Additional Fixtures x .50 $ Gas Range to 200,000 BTU..............Z x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Dept. of Bldgs. Phone SII 4-7470 Location 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 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. Fridley, Minn 214CZ1L Owner Kind of Building Used as To be completed about � .7— Estimated Cost, $ �� ✓��� O Old—New. Building Permit NoPermit No. Signed ROUGH q- 20 �O FINAL Description ......... TOTAL FEE $ ,� / 42 2M By Business Phone 53-84-S915.51 City of Fridley AppocaMoe for Numbbg and Gay Fktbq Pamb Dept. of Ridge. Phone 9®0-3490 DESCRIPTION OF WORN tim 1391 Mississippi St N E Number, Kind and Location of Fixtures °" W V NO. RATE TOTAL Number Fixtures ................ S� Future Fixture Opening ..... • . • .. • x $1.50 $-- _New New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ 3 < New Ground Run Old Bldg......... x $3.25 $ � ub x $100 $ N WATEA MTQ. GAS ELEC. Base x $ .75 $ Gas Range to 199,000 BTU ... ,.......... x $5.00 4 Gas Incinerator 1 5.00 REPAIRS k ALTERATIONS—Refer to Code Description ............................................. ; TOTAL FlMs 5.00 1st Int 'jasl In i er to o ts' 2nd _ 3rd 4th ruturo Connection Openings I a.vnaMPcsq waao Saar * Now Fixture. Old Openings spool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ..... • . • .. • x $1.50 $-- _New 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 Wates Heater .............. x $100 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ... • • .. • • • • • .. • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ... ,.......... x $5.00 4 Gas Incinerator 1 5.00 REPAIRS k ALTERATIONS—Refer to Code Description ............................................. ; TOTAL FlMs 5.00 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 CitF Ordinance and ruling of the Department of Buildings, and hereby declares that alk the tact and representations stated in this application are true and correct Fridley, Minn 7-13-70 19. R Podvin Owner Kind of Building frame Used as res To be completed about 7-18-70 Estimated Cost, $ 10.00 Old—New. Building Permit o. ® rmit Signed gy141011AD111 Business PhuVell o ii . i ROUGH FINAL ' " r 3 ma i suBJECT PER1.�� N0, City of Fridley13845 AT THE TOP OF THE TWINS BUILDING PERMIT ` RO L • ______ COMMUNITY DEVELOPMENT DIV.�� r PROTECTIVE INSPECTION SEC. 1 = � NUMBER REV. DATE PAGE OF APPROVED BY ---5 CITY HALL FRIDLEY 55432 IL L---- �.J 612-560-3450 910-F15 10/27/76 JOB ADDRESS 13.91 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 j Gena-Rae Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard T. Podvin 1391 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 ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x 221 x 181 Garage 9 CHANGE OF USE FROM TO STIPULATIONS- provide #A= a hard surface driveway. —IMPORTANT- NOTIFY THE FRIDLEY ENGR. DIVISION REGARDING CURB REMOVAL AND REPLACEMENT AT DRIVE-WAY OPENINGS. SEPERATE PERMITS REQUIRED FSR WIRING. HEATING, PLUMBING AND SIGNS. wDIC Before digging call 1001 utilities TELEPHONE=,ELEMIC -GAS Etc. REQUIRED BY LAW 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 528 6864 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $3,907.20 $1.95 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. $27.46 PLAN CHECK FEE TOTAL FEE $29.41 SIGNATU OFCONTRACTOR ORAU RIZED ENT IDATEI HEN PR P LY VALID TED THIS IS YOUR PERMIT 1 o BLDG. INSP DATE -Sl NATURE OF OWN IIF O NER ILDERI IDA EI ma i CITY OF FRIDLEY APPLICATION FOR. RESI DENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME : �cy�/20 ;� NOyy1w BUILDER: S%.,nZ ADDRESS: 5. 57- W.sr ADDRESS: 54,we- TEL . 140.: 6-71- 2 s g0 NO :. /39/ STREET: A-7�®s s. ZV- OV C. LOT: 2— BLOCK: ADDITION: Qui . P de - CORKER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form nco Certificates of Survey of Lot and proposed building location drawn on these Certificates. DhSCRIPTION OF BUILDING To Be Used As: /G G41a9G.6 Front: 24' Depth: 22-' Height: /8 Square Feet: 5��8 Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: // v Type of Construction: �/�sy�E ur4oD Estimated Cost: $ ?SOO= To Be Completed: 42F,6. 1977 3) q0% Z 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. DATE: a27 /7 74 SIGNATURE: (See Reverse Side For Additional Information.) 53-8l'-879001 CITY OF FRIDLEY APPLICATION FOR PLJMBING AND GAS FITTING PERMIT Job Address 1391 MTSSTSSTPPT STREET + Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-23-76 '19 OWNER DICK PODVIN KIND OF BUILDING . frame USED AS TAR TO BE COMPLETED ABOUT 12-30-76 PARTIAL RATE SCHEDULE e ESTIMATED COST 1() -nn PLUMBING FIXTURE RATES: NO. � RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures x $3.00 x w Future Fixture Opening Water $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By 0 a $5.00 1�1 w w b+ $5.00 Heater Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ H t6 ty� $ N rd Sa G) A. a $5.00 $ ROUGH INSP. i1 d M S.' C •.1 N $5.00 X 1J CC y $ N O .C'. r •N 0 N FINAL INSP. 11 U N C $3.00 $ .0 m •14 o x $ 18.1 101 N W N .0 .oi w m ro 14 .oi ro Q 3 U N U 7 CQ im N 3 A W in W U lst 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water Job Address 1391 MTSSTSSTPPT STREET + Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-23-76 '19 OWNER DICK PODVIN KIND OF BUILDING . frame USED AS TAR TO BE COMPLETED ABOUT 12-30-76 PARTIAL RATE SCHEDULE ESTIMATED COST 1() -nn PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ MIWNEGASCO Water Heater - to 99,000 BTU x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Date Electric Water Heater x $5.00 $ GAS FITTING FEES: FINAL INSP. Date 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ APPROVAL FOR PERMIT � Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge $ .50 � "A- Surcharge .500 TOTAL FEE $ 5.00 REINSPECTION FEE ($30.00) SUBJECTrjt"I MIT NO. City of Fridley 9 3 3 2 AT THE TOP OF THE TWINS BUILDING _ P E R M I T r � RECEIPT NO. `COMMUNITY DEVELOPMENT DIV. L_ -___ r � � PROTECTIVE INSPECTION SEC. 1 � = "\ CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910415 2/26/88 JOB ADDRESS 1391 Mississippi. Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Gena-Rae Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Podvin 1391 Mississippi Street N.E. 571-2390 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 'Central Avenue N.E. M ls. 55418 781-9548 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 j1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rerooi Dwelling (20 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roos; can be the 2nd layer but not the 3rd, Install ridged galvanized valleys, 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT R STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PER RMANCE OF CONSTRUCTION. $17.50 9' � � � � PLAN CHECK FEE TOTAL FEE �,,..��� 1 F' • $18.00 SIGNATURE OF CO CTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA ATED THI IS YOUR P //MIT � �(O SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI BLDG )NSP nATE NEW [ ] ADDN. [ ] ALTER. L ] Construction Address Legal Description:_ Owner Name & Address Contractor: �! Address:��� City of Fridley R-1 AND R-2 Building Permit Application y -�,ss ` �sS, �S tG ,� o L) EA) %, Effective 14/1/86 Tel. # 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: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside L [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: �`1 ° 1 U Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: i APPLICANT: ����1 f�-i'• Tel. # �7 CITY USE ONLY Permit Fee $ % /- S� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ Q $•50/$1,000 Valuation SAC Charge $ $ 3,5Q per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: New Fixtures 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** NO. RATE TOTAL JOB ADDRESS I ._ Gas Dryer** — Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE • $ .50 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. Owner Building Used As__ �LIN\-C' `"1 1'5- ,1997 Estimated Cost �� Ste® PERMIT NO. / PLUMBING CO APN SIGNED BY TEL NO.,S,_L_) Approved By A,!�:4_ Rough—In Date Final Date S MINIMUM 1'tt I -PK ANY FLUMbINU/ P�J� PLUS THE $.50 STATE. SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. SUBJECT P City of Fridley 2 7 3 9 0 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. _REGetPf r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE Of APPROVED By = CITY HALL FRIDLEY 55432 612-571-3450 910415 1 18/25/98 JOB ADDRESS 1391 Mississi i Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Gena -Rae Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Podvin571-6639 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof kmxxzxxxd izarage 8 S 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 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 667 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. $26.50 PLAN CHECK FEET OT F E6 GNA UR OFC TRACTOR OR AUTHORIZED AGENT IDATEI N P PER LIDAT IS S V R PERMIT V BL $P BATE SIGNATURE OF OWNER OF OWNER BUILDER[ IDATEI NEW [ T Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 .r BUILDING PERMIT APPLICATION P�� 39 0 -�ConstructionAddress: %�'�i i'Y1 sS5 _ ST,�L�� Legal Description: Owner Name & Address: 'Rt c6Fv2D P®,pv raw Tel. # 7f' <�b 31 }� Contractor: Ji5A--F MN LICENSE # \Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: KOTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Len Width Hgt/Ground Sq. Ft. Z Construction Type: �aF -x'16 e E R5'44'-6""'Estimated Cost: $ ! Co �% (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �'-' x,98 APPLICANT: Tel. # ,; 7�-� `� 1-7 TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 0 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 STIPULATIONS: SUBJECT City of Fridley 11 3 4 0 5 AT THE TOP OF THE TWINS BUILDING PERMIT t ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 73 r NUMBER REV OATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L •, ` 763-571-3450 910415 12 / 18/03 JOB ADDRESS 1391 Mississippi Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Gena Rae Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Podvin 1391 Mississippi Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Robinson Construction Inc 1317 118 Ave SE, Forest Lake, MN 55025 612-502-8840 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20266707 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR X O MOVE O REMOVE B DESCRIBE WORK Reroof House (15 S Tear-off' Reroof Garage 12 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Garage roofing can be the 2nd layer but not the 3rd. 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 $2,780 $1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT •39 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 FOR ANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE Licens SC $5.00 $92.42 SIGNATURE OF. RACTOA UTHOAIZED AGENT IDATE,MEN PROPERLY VALIDATED THIS IS YOU PER IT F7 AA LOG INS 1 MATE S-GNATURE OF OWNER SIF OWNER BUILDEAj IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: °�l VA 1 S4 t% c'm m Legal Description: Owner Name & Address: Tel. # Contractor. �m� insor. Cc9✓�s�r`L��`` MN LICENSE # 20Z1p I.Q707 Adriress- f31-7 A$ Aa_ ST' TomA Wk.— Ole, <79C2-:; Tel. # ( 12- •V '40 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 H1 gt/Ground Sq. Ft. 1� OTHER: fL ry"� � C�.-� Cn Guth KC 1215, Lam., [`�txe.,- �I-�CIi i ®�F / U�J )!g- v" Construction Type-:'-F—c.\r -o-FF -t, f?,- ��F- Estimated Cost: $� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 11 -lis'-off APPLICANT: MiTI & L ncCin Tel. # /n (2 -C-W--479 t,10 Call (763) 572 -3604 -for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ - 2 0" Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ]