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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N? 6474 Owwr: 9"92/,. _ 10 16 Address Address No. 45—LOCATIO OF BUILDING 4 Street �'° Part f Lot Lot_ Block _ Addition or Sub, Corner Lot Inside Lot 4Eback 6�'r Sidevard _ Sewer Elevation ___ — Foundation Elevation DESCRIPTION OF BUILDING be as: Front _Z Depth Height �® Sq. FL Lr Cu. Fuj�ar, From, DepthH�g�� Sq. F't. Cu. Ft. Type of Construction � Es -L � _ To be Completed 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 city of Fridley. ' „ r� A v s _ .o In consideration of the payment of a fee of $ & , , 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 a upon violates of any of the provisions of said ordinances. dl ,. s`� � NOTICE: This permit doss not corer the construction, Installation for wiring, plumbing, gas heating, sawar or water. Be sure to see the Building Inspector for separate permits for those beam APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME C /a.venye Q Af 9 fH>s6-A_j BUILDER J'o s.r e-1 Ste - g_ _ Ccs ADDRESS c4W,116 5t /�fE , ADDRESS /9 f-0 Co S"r elk LOCATION OF BUILDING No. Street Lot I_ Block__ Addition or of Lot Corner Lot Inside Lot � Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: _2!$7&,1RQFront a �Z Depth .3a ' Height Sq. Ft. Cu., Ft. Front Depth Height, Sq. Ft. cu. Ft. Type of Construction -j Estimated Cost To be Completed (v o c( A-- 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. (Schedule of Fee Costs can be found on the Reverse Side). T • f O � � ~ c , � �r. 10T 11TtaR,�,' :.' / � a �„ �c3 ,%7 s` s� n SIZE a7f ,X , �5' 110 BLOCK LDDR�S 7� •��''- � VALUATION 0 ADD. /may TYPE"m �> s ................... _.... ............ ............... ..... _...._................... ..... _.............. ...... ................... ... ........ ............ ..... _.._...... ...................... ..._............ ..... ... ......... _............... ......................... s A 16* Q*0r z .INS _..... .............................................. ... ........ h!::.. . . ..%............!`.!=.K....Y........_....1...^.=..............._............._.._....._.._.............._._............... 879.01 City of Fridley Application for Plumbing and G= F*Hng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures e� rn $ x $1.50 $ — x $1.50 Y 8� Z 8� Z Eu<S�i S�O — X $3.00 w 0 Z z- • R • N WATER HTR. GAS ELEG Base —x$.75 $ — x $5.00 $ 1st t r In to C ut 2nd 3rd 4th _ • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... ................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. — x $2.00 $ x $1.50 $ — x $1.50 $ — x $3.25 $ — X $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL — x $2.00 $--P& 00 —x$.75 $ — x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ —�-. TOTAL FEE 2.00 k Location 5840 NE. Monroe 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, 1ldinn APR 16 1969 19— Kind of Building Frazee Used as Residenae To be completed about APR 2 2 1969 Estimated Cost, $ Old-XNew. Building Permit No Permit No. -I/c Signe MINNEAPOLIS fAS L° y Business Phone No ROUGH FINAL C SUBJECT O. City of Fridley ?P7N 4 AT THE TOP OF THE TWINS BUILDING PERMIT r � CEIPT NO 1 16 _____ COMMUNITY DEVELOPMENT DIV. I: - r � PROTECTIVE INSPECTION SEC. 1 i � --'I CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/26/85 JOB ADDRESS 5840 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 8 Donnay's. Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence RW Mathison 5840 Monroe Street N.E. 571- 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Rome Improvement 7401 Central Avenue N.E., Fridley 784-7543 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 8 DESCRIBE WORK Construct a 15' x 12' Addition & a 15' x 12' Porch 9 CHANGE OF USE FROM TO STIPULATIONS SPARATE PERMITS REQUIRED FOR WARM DIKING, HEATING, PLUMBING AND S�G��S�I Before NG -call TELE"'ONE �ng local utilities ELECTRIC .GAS Eft. REQUIRED By LAW 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 $11,350 $5,68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE ROVISIONS DF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $92.50 None RU TION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $23.13 $121_31 SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENT IDATEI WHEN PROPERLY AA LI DATED HIS IS YOUR PERMIT RMITQQ A & BLDG INSP nAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 5� r� A -K/ Legal Description: �-7`- cam+- RICO- r5�- Owner Name & Address: C 16il C 'C �'�.i�� S� Tel. # Contractor: b 4,0 ' 1Ooi e ------Tel . # Address: �qC> � (yQ1j f/* ( 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 J ' Sq. Ft. GARAGE AREA: Length Width $ Height Sq. Ft. SSC DECK AREA:?5cqs,�"Length 150Width Z.:i��/!/ -L,. APPLICANT: � %7 Hgt/Ground �� Sq. Ft. OTHER: I3Y, I = M v Y4.14 t'"75 45.2A Z 1. 3Z. d'& 310-4d Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: A/4'�� Estimated ,� Cost: $ � !J Approx. Completion Date: ,:5PD Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ SAC Charge $ See Back Page for Explanation �)�- DATE: 7 cJ� 5 Z.:i��/!/ -L,. APPLICANT: � %7 `� �l Tel. CITY USE ONLY Permit Fee $ Plan Check $-2• /3 State Surcharge $ S.42 SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ • 3 1 STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] e SUBJECT City of Fridley 26205 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT O _ tr PROTECTIVE INSPECTION SEC.. Y 1 NUMBER REV GATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/11/98 JOB ADDRESS 5840 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 8 1 Donnayl s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence Mathison 5840 Monroe Street NE 571-6593 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Gk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 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 SQ. 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 $2,001 $1.00 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 PR NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $74.75 Fire SC $2.00 RU ON OR THE PERFORMANCf OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY DATED THIS IS YOUR PERMIT BLDG ASP GATE S,GNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5 G0 1'�o,-7Ry L 57'(, �L-^ Legal Description: Owner Name & Address: C la,(e /7 e, e /uc, -r4; SoA-/ Tel. # clS-�5;3 Contractor: %da-zS p - s � �:� � AJ r,17 G MN LICENSE # d,00 /0o-1 7 % Address:/�Y? ( (9i4d&-S VetC 61vi , Tel.# 5//G Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: 14UU5e J 54 P Construction Type:a r '® �fi, Pc - hod r 02 �52P, Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 6 ` /�- �; e APPLICANT: k-� ->- Tel. # e/W - ( 6 a) e2 STIPULATIONS: P CITY USE ONLY Permit Fee $ �1 %�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /,00 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ . 00 $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 $ c 2S STIPULATIONS: P Building PLUMBING Permit No. L Inspections RESIDENTIAL APPLICATION Received By - 763 -572-3604 CITY OF FRIDLEY Dat %:MAY 2 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE -!7- :,?-!L/ - e C) YOUR E-MAIL ADDRESS SITE ADDRESS S'-��O ra R& -Q - THIS APPLICANT IS: ❑ OWNER ACTOR PROPERTY NAME: i -e— -4 Jr a, P-/ OWNER/ ADDRESS: nc-y0 CITY ;r < STATEfZN�GIP TENANT , ,mlopJ424 -2__ PHONE: '7�n 3 CONTRACTOR NAME: 4'0 SUBMIT A COPY OF YOUR STATE STATE LICENSEN' G / Ir'y EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE LE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW CEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ -BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER THER ? ��i L� v��vy �::: L ya4^ E 'F"1 �2 ��i`��' '.. �9� 1' �'nV � .� :`•—�' Y >`E"�`�. Y?' � raa°'t �� 4 Xs �r'. sT - r� � �v 3, a- "`r`n� �'�� - � � t�' a 5 �� ^i,-�� ' �� m s ,u � � s Y '`,�•�-.�r �r� „a � :� t �' , . � a� Y � € T tk � r F ' a �� nE "�, ai � f� �.P � �i d $e zg1 s r'z �� `� ,,,�, € „' `•",e- � L %i��' �} � �'� F 'h �S SYi F .. � -. �,� F )E�'n' •Y4 fie. S � Y3 a € r .3�U,, k 8 " 'L k° 'f 3 >i�- h 4•,'4'+`l' �. �4t kF � � � �'a ✓r` � � S.: ^`�,' l� 4 � 3 } �S S�ik'f�� ,r�'�p��`��«r €,p 4 R"�ar' �-v2' �� a t' F'*? �i9fE,� k `'�'tf -� `kxY.F'„H-R`' THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 6fRwhich requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAM City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977