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PRE 2010 DOCSSUBJECT PERMIT NO. City of Fridley " 1460 0 C AT THE TOP OF THE TWINS BUILDING PERMIT r RECE-11-1 MO. COMMUNITY DEVELOPMENT DIV. -7e, `7 % r PROTECTIVE INSPECTION SEC. 47e 7 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-660-3450 910-F15 3/22/78 JOB ADDRESS 1261-63 Norton Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 Aud. Sub. #89 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tri-Co Builders 2261 Fairoak 427-6250 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESSZIP PHONE LICENSE NO. SE�ERAT'� PERM! TS REO FOR WIRIN -!!RED 6 USE OF BUILDING IDEATING, PLUMBING AND SIGNS. Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 44' x 48' Double Bungalow and a 14' x 22.5' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey and a truss design before capping. Provide combustion air to furnace areas. Provide louvered doors to furnace area is aware and will resolve privately the apparent private sewer located IBuilderLU iii proposed house site. WATER LOCATION: MUST ~BE TAPPED 6" CIP 10' South of the Centerli a of Norton SEWER LOCATION: NO EXISTING WYE. AVAILABLE IN CENTERLINE OF EAS T EAST OF 0 HOUSE. Approximately 18' Deep or in centerline of Norton Avenue approximately LU LN 11' Deep. LLQ DRIVEWAY DEPRESSION COST: Optional THE OTY OF FRIDLEY DONS NOT GUARANTEg TH C ACCURAGEY OF MITY LOCATIONS AND EMATIC+r�: , $52.00 Paid for sewer main balance.CL THIS DATA IS FOR INFORMATION PURPOSES ONLY AId' W PERSONS USING IT SHOULD VERIFY THE INFOR,MATIQ p[ ON THE SITE. 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 1264 +612 I 30,440 4btal ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $44,275 $2 .14 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. $121.76 $860.00 .y �� /p] "" '_l ��A � PLAN CHECK FEE x$30.44 TOTAL FEE $974.34 SIGNATUREOF CONTRACTOR OR AUTHORIZED GENT IDATEI y W EN PROPERLY VA L1 ATE THIS IS YOL19 PER T BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Address: ✓'4 /-��A✓' BUILDER:y ' 'co r Address: Tel. No. No.: Street: jU� ��, C j 0j Ak LOT: �� BLOCK: ADDITION:0-'1z CORNER LOT: INSIDE T: SETBACK: SIDEYARDS: 10-30 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 1 tlk yid ✓u& Front: 7 �j Depth: �✓ a Height: Square Feet: % Cubic Feet: Front: Depth: .2 $' Height: Square Feet: �� Cubic Feet: / Type of Construction :f tA 4AEstimated Cost: $ To Be Completed: Proposed Driveway Width If New Opening Is Desired /V $ (SE REVERSE Alt. A Alt. B SIDE OF SHEET) 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. See reverse si for additi al information. ' - Cp �vl DATE: l SIGNATURE: � / Stipulations: /J �F #" J �u�GJ � CZ 03 '�' /w. 7.,-- 'R.0 - 'VV 4z, IAl Vda,-06 i Mam Office 571 6066 UBURBAN 6815 Highway No 65 N.E `t' NDINEEiRINO �� M— aPnhs, M—mta 55432 ---tet — ---- SoulhOfflCe 8906510 x r Oval & 5fururtpal Engtneenng • .Cud T -t -g • Lund Cucwvmg • Land Plan—N it 1101 Chff Road ®� •� II 8unisv lie, 10.nnesota 55337 Certificate of Survey forTRI - Co bUILDCRS , INC. Novo I;ne of Lot q, AuM or -s Sub dIvislon No. 89 IwVrl1 NOR TH kcal 1"- �(' Oer;o iroi-) �Ilc�r�urr �nf ,ryArr r O,i tii >t L� MOV AL ®P The West 85 feet of Lot 9, Auditor's Subdivision No. 89, `- Anoka County, -,Minnesota. Subject to Norton Avenue and other easements of record, if any. wo Pose d°� E�,ECi�.�C �0-Gow'm � ---- — ---- -- ----- ---- -- -- -- — i"E CITY OF FRIDLI:Y I.I ACCURACY ®®C ATpT OZlI,R,{'p &A lihe, of Lot 9, Auditor•S Subd;v;si6n No, 89T.;,S DATA os�� UTILITY LOCATIONS AND ELEVAT T-`4 NS I OR "'FORMATION P�9QPOSW ot,..L Y ON THE SITE USING dl• SH®Elt® VERIFf 1I1E iMFORW; I hereby certify that this is o true and correct representation of a survey of the boundaries of the above described land, and of the location of 9I�l buildings, the►eon,.and all vi ible encroachments, i/ any, from or on said land. As surveyed by me thisday of F-.`-- t; . A. D. 19. SUBURBAN EN,PNEEONG, INC. L-4.7 Engineers 7 Surveyors Q by'✓ Not Published: All Rights Reserved D P 4/ S 7'iy d Lc.� � �- aF 14V,r 14 /N [— /4 A�7 7 OIAP— �vV /a d /CJs Of Ti 0/1-j'47 L c- S'(J/��i9p Z�/ (10 V, 0 5 _Yu a CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE >. m / x $3.00 $ 0 G o x 4 $ New Fixture, Old Opening Water m B a 1 $5.00 $ H .xa+ m a m u a w g x Heater w 0m b $5.00 $ m x $5.00 3 H 'S 6V 1st 3 fixtures � x ' $3.00 / � $ _4z.cC�� Additional Fixtures x ,4 Cl .ci w ro m $ x A a sem+ o 2 g 49 m a ro � m m � y $ w h S a w v, w v a c� o as lac lst 2nd 3rd 4th (R) m Future Connection Opening Connected with Sewer (*),= New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures / x $3.00 $ 0 G Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU '4- x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures � x ' $3.00 / � $ _4z.cC�� Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ '6"1' yo REINSPECTION FEE ($10.00 Job Address A), 63— Department 3— 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 �j Fridley, Mn. � � , 19-Z L OWNER Tom( C �n C arc= i KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST �7 OLDNEW LUILDING PERMIT NO. PERMIT NO. Company ' o Signed By Tel. No. ROUGH INSP. Date �/ FINAL INSP. %�' I ®' 20 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCEARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARV AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: RATE TOTAL Job Address 1261 — 63 Norton Ave. $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEA%I OR HOT WATER SYST01: - Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures Gas urge to 199,000 BTU AIR CONDITIONING FAX HHATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ iiV' G u x $ 3.00 $ Adpe x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date (.$10.00) FINAL INSP. Date '�� ,, APPROVAL FOR PERMIT d1lem MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 ,R. I 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, Minn. �-- 197 OWNER Tri -Co Builders KINb OF BUILDING Frame USED AS Dwg . TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ' DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.* JL Trade Name Lennox size No. G12D2-55 (each) Capacity Sq. Ft. EPR BTU 5 5 , 0 0 0 HP Total Connected Load Kind of Fuel Nat. Gas BURNER - Trade Name Size No: Capacity Sq. Ft. EDR BTU HP company Mill City Heating Co. a Signed By n Tel. No. 559— 500 'v:U / ;r� ,, - 14 r e4wp, k , �� .) D,36 NEAT LOSS /CALCULATIONS DEPARTMENT OF INSPECTION MR&FAMUS. MM. Weatherstrips A.SJLVZ Construction No. Insulation __Sz - Guide 11 Windows Doors Reference Out. Wall Int. Wall Ceding Roof Floor Kind E' How Applied -,'Ya=1To- "Yes No 1 19— P2, 1 ..r--, I 1 F1.1 IC; liMA Room I Length t�'-�--Width .,k j7� J&L dF) 02 (k Windows andboors-Crackage and Area Width Height No. of Lineal & Area, No. of pane 61,1pat.10, lights of c1rack 09. ft. I t -�C' jCoef. Btu Infiltration Btu Infiltration Ar Glass f C;;",!, &p. waU -7, Q.- 0 F.Up- Wan T Net exp. waU Net exp. way Int. wall FxpBY ., wall InL wall Ceding 71 Net exp.- waU Floor "I Of LzT I otal utu. Required sq. ft. E.D.R. or sq. ins. WA. Leader, area I FLI Ki-rX)-,r1.Room 1 Length 1!-'77&Width I Windows "and Doors-Crackage and Area Width Height No. of Ltneal tt Area No. of pane of pane lights Of cook sq. ft. I t Coef. Coef. Coef; Btu Infiltration rev", f C;;",!, &p. waU -7, Q.- Clan 1W 7 T Net exp. waU Net exp. wall FxpBY ., wall InL wall v C- F� Net exp.- waU Int. wag "I Of LzT Int. wafl Floor r V7 e-, 7L Ceiling Floor Iota! 15tu. Required sq. ft. E.D.R. or sq. ins. WA Leader -'area A-1 T-7. 0 - %'-ilj= I Unitth Width - He"t Windows and Doors-Oackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sqAL I t Coef. Coef. Btu Infiltration Gla,ss rev", f C;;",!, &p. waU -7, Q.- 1W 7 T Net exp. waU Net exp. wall 12, InL wall v C- F� et"I Int. wag "I Of LzT Floor -10-7 Floor r V7 e-, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Lear area LZ and Doors,--Crackav and Area Btu Infiltration d4-7 f q 7 e) Glass &p. wall Net exp. waU V? P-711 Int. wall Ceding :2-2- 7 1 77 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Room I Length I 17 Wi Heiail Windom and Doors-Crackage and Am Width Height• No. of Lineal ft. Area No; of pane of pane lights of crack sq. ft. I t Coef. Btu blUtiationjil J'j 124 Glass Glace &p. well T Exp. wall Net exp. wall 12, Not mm. waU Int. wall F� Int. wag LzT Floor -10-7 Ceiling r V7 e-, I otal Btu. -4, Required sq. ft. E.D.R. or sq. iis. W.A. Leader area E- FL I 4t,`P,X I Lensdh VWidth I 411ekht Windows and Doors-Craelkage and Area Width Height no. of Lineal tL Are& pane of pmotj a 1 lights of crack sQ._tL I t Coef. BW Infiltration Glace Exp. wall 12, Not mm. waU Int. wag LzT 777 Ceiling Floor I otal ma. F ? Req" sq. ft. E.D.R. or sq. ins, WA. Leader area REAT LOSS CALCULATIONS D71 ARTMENT OF INSPECTION MROWAPOU, Weatherstrips 11Guide FLV.L Construction No. Insulation A G endows I Doors Reference Out. Wall Int. Wall Ceiling Roof Kind How AP—pt ;=N—o Nes:,–No 19- 7 RboznjLength 4fi '�j--',Vidthel, Int. FU Room (Length Width Windows and Doors—Crackage' and Area Width Height No of Lineal ft. Area No. of Dane of pane liffilits- -otcrack sq. it. Width Height I No. of Lineal ft. Area No. of pane of Dane lights of crack Mg. ft. "T Btu Infiltration Coef. Btu Infiltration Net exp.* wall I T Int. wall Glass Ceiling Floor Exp. wall Net exp. wall Int. wall Ceding Floor I otal kitu. I j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area L F1.1 Room I Length Width Height 'Windows and Doors—Crackage and Area Width Height No of Lineal ft. Area No. of Dane of pane liffilits- -otcrack sq. it. -- "T Btu Infiltration Class Exp. wall Net exp.* wall Int. wall Ceiling Floor I otal Istu. Required sq. ft. E.D.R. or sq. ins. WA Leader. area F1.1 Room I Lensith Wigith twerht Windows and Doors—Crackage and Area Width Height No.Lineal ft. Area No. of pane of Paine 11woh-toof of crack sq. ft. Coef. 1 Btu Infiltration Glass Exp. wall Net exp. wall Int. Wall _Ceiling Floor I otal Btu. Required sq. ft. E.D.R. or sq. ins. WA Leader area Heialit Windows and Doors--Crackage and Area Width Height No. of Llneal ft. Area No. of pane of pane lights of crack sq. ft. lCoef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA Leader area I - F1.1 . Room I Length Width Height Windows and Doors—Crackage and Area Width Height• No. of Lineal ft. Area No. of pane of Palms lights of crack 8Q. ft. Coef. at-a- Mtrition Glass Exp. wall Net exp, wall Int. wall Ceding Floor I otal 15tu. Required sq. ft. E.D.R. or sq. ins. WA Leader area Room I Unsdh Width Heialit Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Aram, No. of pane of Pane lights of crack sq. tL Coef. Btu Infiltration Gass, UP. wall Net exp. wag Int. wag Ceding Floor Iotal am Required sq. ft. E.D.R. or sq. bw W.A. Leader area I CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING Perim PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ -%.06 Future Fixture Opening a $2.00 Water d New Fixture, old Opening d� $2.00 $ Catch Basin q a � fAr O Vp, x W $ /0-00 Seater .Qi m�Gp $ � ,lye $7.00 obi a7 pH . B N $ Electric Water Heater $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 • $ O N 'j g t0 N Gas Range to 199,000 BTU x $10.00 $ vO a m 3 O W° rmc w ii ani 3 i� �x c� o as �lec State Surcharge $ .50 TOTAL FEE $ W - SU �^1 2. lst 2nd 3rd 4th (R) m Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ -%.06 Future Fixture Opening x $2.00 $ New Fixture, old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ /0-00 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 • $ 5.00 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ W - SU REINSPECTION FEE ($ 0.00) Job Address / c%'/z 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. '�`�i , 19 OWNER KIND OF BUILDING�%.a_o:. USED AS TO BE COMPLETED ABOUT ESTIMATED COST Edit - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed Byde T , J a ��1�� Tel. No. 71 � ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT e - /Z - 7 V MINIMUM FEE FOR ANY PLUMING PERMIT IS $7.50 PLUS $.50 STATE SURCHA M 554 TAP CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERMIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any existing water or sewer line. �f LotI IRlock----Addition /� Address – 6 A Owner ° ' Plumber q.A- CHARGES TO BE PAID BEF&P TAP MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY H) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: Materials Used: $ �o�V Street Patch: k-9: $ TOTAL: $ A A '6 SEWER TAP: Street Patch: x : $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water ASSESSMENTS TO BE LEVIED: Lateral: $ Clerks. Sewer Lateral: $ TOTAL ASSESSMENT: $ �/ –* Supt. of Public Works M/P 3/76 white P.W. canary C 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Febnuany 14,.1979 6 (-/� v. Meeh Ptumb ing 8 Heating, I 317 Centtca2 Avenue 06.6eo, Minn"ota 55369 Re: Invoice No. 2805 0/3/78) Soft Sttceet Patching at 1261-63 trton Avenue N. E. , Fjri,d�2ey ($30.00) GentEemen The above changes have not, a6 yet, been paid by you. I mu6t .i.n6okm you that this b c, t must be paid by MoAch 15, 1979, ox I ahatt have to tcecommend that you,% ti.eende to opeAate in F,PU&ey be &evoked. Pteaze beet Jkee to ea?' me .in oadeti. to tesotve this matteA. VeAy tnuey youAz, RALPH VOLWAN SupeA i.ntendent o6 Pubt i.e plonks RV :.ik Enc. 1 cc: R.ichand Sobiech, Pubti.c pbnks Di&ecton I n6 peeti.on Depatrtment ✓ 0 7- FRIMLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)571-3450 October 17, 1980 Ms. Majella D. Staudenmauer 640 - 115th Avenue N.E. Blaine, MN 55434 Dear Ms. Staudenmauer: RE: 1980-81 License Application for the Residential Rental Property located at 1261-63 Norton Avenue N.E., Fridley, MN At the end of July, 1980 you were mailed an application to license your residential rental property. As of the date of this letter, the City has not received the application and appropriate fee. Therefore, we are again mailing out the enclosed application which must be completed, signed and returned with the license fee plus the 50% late penalty no later than 11-3-80. Your prompt attention to this matter is appreciated. Very truly yours, SJO/kw Enclosure (1) L 0069A/0807A STEVEN J. OLSON, R.S. Environmental Officer ,"*'-% � — f Building PLUMBING Permit No.:Z;! Inspections RESIDENTIAL APPLICATION Received By �' `®fo 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE .513,7J.- Iv' YOUR E-MAIL ADDRESS SITE ADDRESS Ztea3 MZ 'A AV Q_ NE THIS APPLICANT IS: OWNER DCONTRACTOR PROPERTY NAME: ADDRESS:_,!�;:AkA Cre_5 CCITY A STATE ZIP .� OWNER/ TENANT PHONE: CJI k L - AS 3., -1 Z 3 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP— TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERNUT TYPE D SINGLE FAMILY >TWO FAMILY O TOWNHOUSE TYPE OF WORK: 0 NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINIULAV FLOOR DRAINS _ SHOWER _ WATER PIPING _ PIPING (NEED cnrucEAmO _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB —GAS CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER _`OTHER g— g 3_ Number of fixtures @ $10.00 x $10.00 = $ Permit Fee. $ Is-.— Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ _lam; . State Surcharge = $ .50 Total = $ 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; that the work will be in accordance with the approved plan in the case of all work whic qhs r view and approval of planes. PRINT NAMEK�. 0.1 O\ 1 i0.-'� DATE 0' SIGNATURE OF APPLICANT City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 SUBJECT'PERMIT NO. City of Fridley 30122 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 1 i L F • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC r �'J-3 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED OV L 612-571-3450 910415 8/25/99 JOB ADDRESS 1261-1263 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 Aud. Sub. #89 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Crist .388 Stonebridge Rd N Eagan MN 55123 651-688-7009 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Joe Petroski Contractor 1636 Mi.nnehaha Ave W St Paul 55104 651-644-6768 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Double Bungalow 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION INX REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof Rix Duplex and garages (26 Sq) Tear -off 9 CHANGE OF USE FROM TO y STIPULATIONS Underlayment must comply with the State Building Code. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING. OF A PERMIT 2272 S1.14 DOES PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO SIO S OF ANY OTHER STAT OR LOCAL LAW REGULATING CON• TR THE PERFORMA E F CONSTRUCTION $83.25 d Fire S 2.27 PLAN CHECK F TO AL FEE W-TIOR 7S.GNAtUR0FCON-RACTOR0R'kUTH0RiZEO AGENT IDAT i EN R VALID D THISUR P�7 BLR& NSD v f�6fE S-GNATURE OF OVVNERoF OWNER BUiLDERI NEW [ ]` Effective 5/10/99 ADDN [ ] CITY OF FRMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I BUILDING PERMIT APPLICATION Construction Address: f,z-� - &L Legal Description: Owner Name & ddress: Cry`s - SS 5 t4ie1. # W/V Contractor:— MN LICENSE # cd S Address: APz- L4 Dov,, �/®sem Tel. # 6, Attach to this application, a Certificate of Survey of the lot, with the proposed .construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF EM PROVEMENT Length Width Height Length Width Height Sq. Ft. Sq. Ft. Construction Type:f�,j� 0 +7Q&gocE Estimated Cost: $� 1- o?o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: f APPLICANT: Tel. # Permit Fee $ 83-c2S Fire Surcharge $ 2 i State Surcharge $Itz SAC Charge $ License Surcharge (_,f Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] TOTAL $ 91,6 (,::. & - L 6 STIPULATIONS: