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City of Fridley, Minn.. BUILDING PERMIT No 4026 Date: ........ _........ _:1....`......../._ ..... .._.._...) ............. -................. 0004 Owner: .._..._............_....._.................... Builder .............._.......... _ .. _. _. _..._......._...._..__.._._ Address.......................... _........... _------ --------------- .__.._._...._......_..---- -------- Address .............. ...................................................... ........................................... LO TION OF BUILDING gg No.../.....tedaa ..r./..... Street..... �, . _ ................_... - Part of LZ t' _ ---......_ �/� _... LotA-- /��� �#(o? �r lock ....._......... - _. ........ Addition or Sub -Division ..!4i � .. _....................o..z.... Corner Lot .................................... Inside LotX .................. Setback ... . .. ._.... _ Sideyard .�Q.. ........ Sewer Elevation ..... .............. _............._............._..................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: °/ " �/VP -----....... Front ..��..-� Depth :._® Height021_.Z.. Sq. Ft.....1..... .. Cu, Ft . .................... _............. _....... ................ Front ........................ Depth Height//......_�..... Sq. Ft. ..... _................. Cu. Ft...................... Type of Construction......................................................... Est. Co/ j..•./c.../../......1�.................... 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. Qa2 ................. In In consideration of thea ent of a fee of P yn► $J7 .. ........... 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. -1 _ , Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 lD City of Fridley Application for Plumbing, and Gas Fitting Permit Dept. of Bldgs. Phone SD 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE ,3,f / 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- !, z °S --f 19_ Owners r�-�d�G� 19— Kind of Building Used as To be completed about Estimated Cost, $ 19— PLUMBING FIXTURE RATES: NO. RATE TOTAL -New. Building Permit No Q Q Number Fixtures ...................... � x $1.50 y, Signed Y7C^( x 1.20 Z vl O 0U' 0U' NU' Z Catch as ............................ x 3.25 WATER HTR. - - - - - - - Water Heater (Up to 200,000 BTU) ...... ,� x 2.00 $ -A - O d 8 Rouah New Ground Run Old Bldg . ............ x 3.25 $ JUL 2 1959 ° a4 (�9 0 F N GAS ELEC. Base ` f 1st / 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sower Cesspool PARTIAL RATE SCHEDULE ,3,f / 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- !, z °S --f 19_ Owners r�-�d�G� 19— Kind of Building Used as To be completed about Estimated Cost, $ 19— PLUMBING FIXTURE RATES: NO. RATE TOTAL -New. Building Permit No Q Q Number Fixtures ...................... � x $1.50 $ • G � Signed Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No. Catch as ............................ x 3.25 $- - - - - - - - Water Heater (Up to 200,000 BTU) ...... ,� x 2.00 $ -A - O d 8 Rouah New Ground Run Old Bldg . ............ x 3.25 $ JUL 2 1959 GAS FITTING FEES: NO. RATE 1st 3 Fixtures .......................... x $1.50 Additional Fixtures x .50 TOTAL as Range to 200,000 BTU .............. x 2.00 $ • G G 40 U REPAI RATIONS -Refer to Code Description ................................................$ TOTAL FEE $� 11 POST IM -12-58 `` WFFW— City of Fridl®y Application for Piambing and Gas Fitting Pern it 3 / DePL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL CJ Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... --� x 2.00 A New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................z x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ e REPAIRS 8tALTE TIONS—Refer to Code Description ........:.......................................$ TOTAL FEE $- S City of Fridley: D 5t, 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 t, ue and correct. Fridley, 19=��? Owner f �- 19 Kind of Buildings U%-/ � /19— Used as ' To be completed about Estimated Cost, $ Old—New. Building Permit No Sign ` SEP 22 1959 Rough 11 POST 1M-12-58 By Business Phone No <g g Z � QQ W Z • � N WATER HTR. GAS ELEC. +O.' 3 �0 3 0 Base 1st 2nd 3rd 4th — • Future Connection Openings Connected with * New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL CJ Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... --� x 2.00 A New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................z x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ e REPAIRS 8tALTE TIONS—Refer to Code Description ........:.......................................$ TOTAL FEE $- S City of Fridley: D 5t, 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 t, ue and correct. Fridley, 19=��? Owner f �- 19 Kind of Buildings U%-/ � /19— Used as ' To be completed about Estimated Cost, $ Old—New. Building Permit No Sign ` SEP 22 1959 Rough 11 POST 1M-12-58 By Business Phone No City of Fridley SUBJECT PE® 4665 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/2/78 JOB ADDRESS 1381 Onondaga Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 15 Auditor's Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Labreche 1381 Onondaga Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue, St. Paul 645-0331 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 ' x 241.e 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway by Sept. 1, 1979. Owner agrees that he has no intention of ever attaching the garage to the house. SEPTATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF 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. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 48O 4800 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 $3,475 $1.73 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- %X $19.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. CHECK FEE TOTALFEE 01DPLAN ,�''�J/// $20.93 NATURE OF CONTRAC OR OR AUT RizeD AGENT I TEI HEN PROP RLYVALIDATE�1D THIS IS YOUR PERMIT L V -� IGN RE F OW E U N B AT ) i - DATE CITY 01= FRIDEY APPLICATION FOR RESIDENTIAL BIM -DING PE -UNITS (NEW, ALIERAI-Jowi, bjm-iwO, OR REPAMS) QidI71;I? _ � F _ r7 -'. RUILMR. Mdres;s: 1 } tz %6 � Address: Z(f'�6 �Q ` D ��� Tel. No.: No.:� Street: LO�,� I310cy' : ADDITION: " Coit ; `..'. c - T'NSILE LOT: SETBACK: SIDL'YARDS: Applicar-,t att:zch 'to this form T:;o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used its: C� 9 Front: Q Depth : L Height: �--- Square Feet: _46 0 Cubic Feet: " 800 Front: Depth: Squai-e Feet: Cubic Feet: Height: T�=pe of Construction:�Estimated Cost: $ To Be Completed- i -A e- Z Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ _ (SET. 1U3XT zSE SIDE OF SIIEET) 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 mid correct. See revel se side e or additional information. A n A DATE :����^ SIGNATURE: Stipulations: 4-s oat u"4*e (5"-, Land Planning s� �fL�i'� � 6875 Highway No. 65 N. E.* Land Surveying• • Ane. Minneapolis,Soils Testing 41eelt , Minn.'55432 Civil Engineering f� Telephone 7846066 Municipal Engineering Engineers & Surveyors Area Code 611 Certificate of Survey for DUM CHC" North 6e J %e Sau% 130 �eet rJ I_Lt o W�L - �;�� - - - 42 p " -�- v J p 10 � 1 y c? SCCIIe: iiviJ1=3ONat •v 13� u 'sa f � 6 /ron nChumPr)t � i8,.. '• s�i S;Oa% IMP Lot 0NON0AG A ';TQ U t�Ie75 Feet� L .15. udljors SLXU ISW'L IRO.m, CULWly, { 1tir1ASU�a� JL1K)}EC.� o ;�aSerriii t}"CVrccrjl�71�' ally, I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this L4 day of r;l A. D. 19]?L. SUBURBAN ENGINEERING, INC. Engine s Su veyors c39vioe-��o ` 565 7 SUBJECT City of Fridley7 E—ll215 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 82583 JOB ADDRESS 1381 Onondaga Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E 75I Of 5 1 Auditor`s. Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Iabresch. 1381 Onondaga Street N.E. 784-3637 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Roger Harju Construction 10800 Xavis Street N.W., Coon Rapids 427-7330 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 Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside Dwelling & Install blown Wall Insulation (Class F) 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HFATING. PLI-IMPING ANI) ';I(;NS 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 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 $3,500 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS A Y OTHER STATE OR LOCAL LAW REG; ATING Sqr[RyCTION R E PERFORMANC OF COftTRUCTION. $44.50 3N- PLAN CHECK FEE TOTALFEE �`� p 1 $46.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT )DAT) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG WSP �c DAVE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 7 CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PEW-11ITS (New, Alterations, Additions, or Repairs) OWNER: �h ADDRESS: 3 ®mcg 0 TEL N0: 99 �— -?�.37 Effective Aug. 1, 1981 �. /0 PP BUILDER:X<Wior �.��5�` �. ADDRESS: /(M00AAVU.S 1��' �V oil TEL NO: Construction Location STRECT NO: STREET: ®/CJS /m a cc �� L07': � �� � /�� BLOCK: ADDITIO:i: Corner Lot: Inside Lot: Setback: Sideyards: Ap,plicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF COiISTPUCTIO14 Front: Depth: Height: Square feet: Cubic Feet: Front: Depth: Square Fent: Cubic Peet: _ Height: fir,- Type of Construction: 4., �t le ���5 "�� Estimated) Cost: Tb Be Clompleted: �` 3 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PZVF.RSL' SIDE OF SHEET 2be undersigned hereby makes application for a permit fcr the ::ork herein specified, agreeing to co.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 representit'ons stated in this application , e tr and correct. DAM�� SIGNATUI� Stimulations: i v, (Check' one or both:) Tolm ZOKnG — NOTIFICATION OF IIMT RECEIVED rg Family Foster Home NOV 2 4'66 Fami],y Dag Care. How IE5 FROM: _ �` ? 6t--) 5���r CE r&ScctCU—v `L (County � elfare De�rtne=rt or Voluntary Agency. -&j C� ��0 (Street Address) Zig •• , rC c. `StatB I- (City)`�s�l c�,h -5ccl%o-I L,Jc)rkt - SEUT 8i: nice Devartment Di APPI=A!;T : P057ER CAFE Number of Hatumal Children under 10 in Name: (Circle Humber) 0 1 (03 4 5 Number of Fo_ter Children included in License: (Circle 3:=bcr) 012045 6 7 DA_ Y__ Nutiber of Natural Preschool Children in Home: (Circle Number) 0 1,2-3 4 Number of Das_Care Children included is Licenser (Circle Number) 0 12 3 4 5 DATE OF NOTIFICATION: "� 9 Irma STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD 3 oZO -4r'5p ST. PAUL. MINNESOTA 55101 Date OF Z ing Authori 6�y ?7� Street Address City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name of Day Care Home Applicant 3 Street Address W012-4 City State Zip Code )eF_V)9eA0 DHS -2722 (9-85) PZ -02722-02 Type of License: Family Day Care Group Family Day Care Licensed Capacity 40 Phone No.— %4F�A"7 This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within 30 days after receipt of this letter, we will consider the above-mentioned day care home to be in compliance with your local zoning code.%��'.`.' Sincerely, COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR ANOKA, MINNESOTA 55303 Licensing Worker Name of Agency/Organization Street Address City State Zip Code vvo4e-- Ay 4w -e :,O&a44�� AN EQUAL OPPORTUNITY EMPLOYER M suedEcr PERM) City of Fridley _ 218 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT RE 0. _ COMMUNITY DEVELOPMENT DIV. fr PROTECTIVE INSPECTION SEC. /--'1 CITY HALL FRIDLEY 55432 NUMBERDATE PAGE OF APPROVED BY 612-571-3450 910415 f7i 5/26/93 JOB ADDRESS 1381 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED Pt. 15 Auditor 1 s Subdivision #129 SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Beth LaBreche 1381 Onondaga Street NE 783-4836 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Addition & Remodeling Specialists 2618 Coon Rapids Blvd CR 55433 427-7330 1109 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 O NEW ❑ ADDITION OX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Lower Level Alteration to construct room 9 CHANGE OF USE FROM TO STIPULATIONS See notations, on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD +SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 'VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,500 $1,75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63.00 Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE / 7-�/ License SC $5.00 $73.25 SIGNA URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ,'WHEN ijR ERLY ALI TED THIS IS YOUR PERMIT D INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) M NEW [ ] r:tki"-ve 1/1/93 ADDN j ] ~CITY OF -FRIDLEY,;=-. ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -2 - Building 2 -Building Permit Application Construction Address: 9 S77? c-ff-r- c Legal Description: Owner Name & Address:r c /� �o �� 2 e-� Tel. # '7ff s - 4 83 G Contractor: �1-31 .1 r ro.,Ll �z� �,c �� S'/��-�� rsfsMN LICENSE // t / e y . Address: `Z-6 r6 Tel. -z--7 - ' 3 5c 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: / 8 /-o " //'- z-'' Comer Lot f ] Inside Lot [ ] Ft Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ .-35-00"—c' Approx. Completion Date: J u ll-' c- 7z -c, Driveway Curb Cut Width Needed: (Cost on Back). Ft + .6 Ft = Ft x $ _ $ DATE: APPLICANT: ,�E' Tei. 1/ 4F�7- 733y Permit Fee Fire Surcharge State Surcharge SAC Charge $ O0 License Surcharge $ , (-)r) Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary f ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES SCHEDULE JOB ADDRESS BATE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do ail work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. ,1993 Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10,00 $ e3'D%, ESTIMATED COST PERMIT NO. *Air Conditioning - AD Sizes $10,00 $ • DESCRIPTION OF FURNACE AND OR BUBNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ &0 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ ' 02 / � R.UA //+/ 'S HEATING COMPANY_Z�o �AYC-syn,� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILA ION 1S3-/5 REFRIGERATION/AIR CONDITIONING PERMIT iS 115.00 Signed By�- Tel No. PLUS THE $40 STATE SURCHARGE REINSPECTION FEE Approved By Rough -In Date Final Date $330.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ( FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( j 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( j 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date 0 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ ®®® representations stated in this application are true and correct. r ,1993 Gas Piping (Needed with new furnace) $10.00 $ �®s%J Z OWNER xv-efl's"- Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ _ ESTIMATED COST�� �d®� PERMIT NO. *Air Conditioning -Ail Sizes $10,00 $e6p_' • DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units / Circle One (Steam) (Hot Water) Trade Name � �`�1�/�£� S(ze No. Commercial/Industrial BTU ® CO b HP EDR 1% of Value of Appliance or Work $ Fuel P" Total Connected Load State Surcharge $ 50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ HEATING COMPANY_ _t_l�kelo MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION [-� REFRIGERATION/AIR CONDITIONING PERMIT IS $115.00 Signed By ® PLUS THE $.5o STATE SURCHARGE REINSPECTION FEE $30.00 Approved By Rough-In Date Final Date 427 *Alr Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (Aj No ( ) 2. Is free from rust or deterioration Yes (;K) No ( ) 3. Has no foreign objects lodged within Yes (j No ( ) 4. Is securely supported Yes ( No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes 1VJ No ( ) 6. Has total heating BTU's of QC2 C) All other BTU's TOTAL BTU's / �p Remarks List Alterations Being Done: HEATING COMPANY Signed By 1%��i• Date / .� SUBJECT •, City of Fridley 22339 AT THE TOP OF THE TWINS BUILDING PERMIT � ECEIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 Ij1 3/22/94 JOB ADDRESS 1381 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. PT 15 1 Auditor's Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John LaBreche 1381 Onondaga Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Addition & Remodeling Specialists Inc 2 - a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑$ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (14 Squares) Tear-off 9 CHANGEOFUSEFROM 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,050 $.53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27.00 Fire CS $1.05 ERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE =/%-- License SC $5.00 $33.58 SIGNAT RE OF 6ONTRACTORORAUTHORIZ AGENT (DATE) WHEN PFICIPERLYVIALIDATED THIS IS YOUR PERMIT DATE SiGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/94 ADDN .. [ J CITY OF FRIDLEY ALTER' [) SINGLE FAMILY AND DUPLEXES R -LAND R,-2 Building Permit Application ConstivctionAddress: it Al opq u' Legal Description: Owner Name & Address: Tel. # MY 3 Contractor: jVt c ie4k 4--A - MN LICENSE Address: �� C�� /� <<�/�� �h,i�i Tel. #,Z Attach to this application, a Certificate. of Survey of the Jot, 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: e 6r-1 1 q Tcc, cur Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cosi' $---�C)S� Approx. Completion Date: (Cost on Back) Driveway C bt Wath Needed: Ft. 6 F= Ft x DATE: APPLICANT. _ Tel. # STIPULATIONS: ,- 1 10 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ ;,. pS .001 of Permit Valuation (1/10th%) State Surcharge $ �3 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ . C' 0 $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: ,- 1 10 SUBJECT PERMIT NO. City of Fridley ? 3 7 68 AT THE TOP OF THE TWINS BUILDING PERMIT Ir • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 57 r NUMBER REv DATE PAGE of o BY 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/4/95 JOB ADDRESS 1381 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E 75' of 5 1 Auditor's Subdivision 4129 SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE John/Beth Cabreche 1381 Onondaga Street NE 786-4133 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Addition & Remodeling Specialists 2618 Coon Rapids Blvd, Coon Rapids MN 1109 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55433 427-7330 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 Construct a 12' x 14' Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNINf FOR Before digging call for t Q!F'G PERMITS REQ - PND SIGNS'all utility locations SEPARATE 454.0002 PLUMBING BY LAW WIRING. HEA-vmGt REQUIRED 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 I 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 $9,723 $4.86 DOES NOT PRESUME TO, GIXE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ISIONS OF OT ER STATELOCAL LAW REGULATING CON- TRU TION O HE P RF RM NCE OF C STRUCTION $162.25 Fre SC 9.72 ?5PLAN CHECK FEE TOTAL FEE - SIGNATURE OF CONT OR AU IZED AGENT (DATEi License RC 15-(10 $181.83 WHEN PROPEqCj VALIDATED THIS IS YOUR PE MIT BLOrG' '� INSP r)#T E SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: /Se/ Legal Description: Owner Name & Address: IT� /�� Tel. # Contractor:,-W.O f MN LICENSE # Address: 2&(,g A?�P/ V J° s�' � Tel. # 51- -0 7 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. 57,a GARAGE AREA: Length Width Height Sq. Ft. - 9,23• �'i DECK AREA: Length Width Ground Sq. Ft. OTHER: 'ILego -'77 1-V � / z ` - Corner Lot [I Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks eqgiEr Type of Construction: Estimated Cost: $ /S, �� °° ' � fy T Approx. Completion Date: / z-Zl f/g� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee $ 1(2,2 Fee Schedule on Reverse Side Fire Surcharge $ %7Z .001 of Permit Valuation (1/10th%) State Surcharge $ �, �� $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ !S60 $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 $�I 4 3 STIPULATIONS: f 7— %5©' CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 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 Effective On August 1, 1995 JOB ADDRESS, The undersigned hereby makes application for a permit for the work herein Rate TOTAL specifltad 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 $ 30.00.• $ representations stated in this application are true and correct. %/ - 9 ,1995 $10.00 $ $10.00 $ $10.00 $ *Air Conditioning - All Sizes $ 25.00.: $ All Others/Repairs & Alterations (LIST ON BACK) 10% of Value of Appliance or Wor $ Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge $ so TOTAL FEE $ OWNER BUILDING USED AS 7 1'e ESTIMATED COST -:�2 PERMIT NO. ®1--2C'C/"'0 No. of•Heating Units Circle One (Steam) (Hot Water) (Warm Air) _Trsda Name Size No. BTU HP EDR Fuel . Total Connected Load Bumex Trade Name Size No. BTU' ` HP EDR S e COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION /T REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 l� Signed B Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By"—Rough-In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE ICOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE HIMNEY AND STACK 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 (7 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 () Not ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: mast ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �1 / ao Q a 51 AU JOB ADDRESS /321 D u RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Bumer — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) :1— 01 —9 Gas Piping (Needed with new furnace) $10.00 $ OWNER L0 Iq rl I -.aGJ �-Q Cl k) --b Gas Range $10.00 $ BUILDING USED AS dvffir� Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. ®� *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (UST ON BACK) 1% of Value of Appliance orWork $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. TOTAL FEE. $ BTU HP EDR ,25.5D BLAINE HTG. A, C ELECT., 13562 CENTRAL AVE. N HEATIN MP NOKA. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Dat *Air Conditioners can not be laced in a side and without p Y FILL OUT BACK SIDE FOR STA K VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION 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: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 Un*rsity 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 May 10, 1999 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE 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 $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE LABRECHE, JOHN 1381 ONONDAGA STREET TOTAL JOB ADDRESS NORTHEAST FRIDLEY, MN 55.132 The undersigne (612) 786-4133 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. NORBLOM PWMBING C ��/ (612) 827-4033 , 1999 2905 GARFIELD AVE. SO. Building Used As Estimated Cost 400 PERMIT NO. PLUMBING COMPANY �e. SIGNED BY TEL N0. ApprovedB Rough -In Date Final Date $ .50 C 1=0 ANY PLUMBING/GAS PERMIT IS $20.00 $ �.�PLUS HE 50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. 4 CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 16, 2001 John Labreche 1381 Onondaga Street NE Fridley, MN 55432 Re: Final Inspection at 1381 Onondaga Street NE Contractor: Norblom Plumbing Co Dear Mr. Labreche: t A plumbing permit was issued on September 8, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee paid covers the inspector's time to make sure the appliance was installed correctly. We also check to make sure combustion air has been installed and that the vent and vent connectors have been sized properly. If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspections were called for. Any questions can be addressed to me at (763) 572-3603. Sincerely, Buildmi -g BUILDING Permit No.: oho -CV/G!� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: -Z2 - DATE 1-17— 04, YOUR E-MAIL ADDRESS SITEADDRESS /3'91 C'A)C' .% L7 47 S! a THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: -,T 0 ad 1"f '8'y 1 C� Z _ ADDRESS: /3 $'I 0A10,J1, f 61W CxO CITY Fel DL STATEM�i /LIP � TENANT PHONE: '743 -' `� si% " �/ 3 CONTRACTOR NAME: Q u A L I Ty 14om F S STATE LICENSE # 30O-5 EXP DATE SS SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:(I A/P Ci 6 Ld ST CITY )0/P/A%C L,-.- Y/l STATE& .:Q-- WITH APPLICATION PHONE - 7 $� SFAX %�o3 — 7 ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE Stl— PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER ❑ SWIMMING POOL / TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: I?F m o 01 L A 7-1-1 Rg0l✓J HEIGHT Sq. Ft. SIZE OF IMPROVEMENT LENGTH WIDTH ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION INCLUDING THE COST OF LABOR AND MATERIALS: f (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 011c, 0-0OCCUPANCYTYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ o 00 .001 times the total job valuation Surcharge $0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ (g $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge greement necessary ( ) Non Necessary ( ) Total Due take checks payable to: City of Fridley Attach Sti ulations THIS IS AN APPLICATIOWFOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit 'Mad— c owledge 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 which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DA 01/2512006 09:37 7867844821 SKYWAYQUALITYHOMESL PAGE 01 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rei°d: DATE yOUR E -ISL ADDRESS SITE AI:D ' Q THIS APPLICANT IS: 0 OWNIM RACTOR PROPERTY NAME, OWNER/ ADDRESS: ciTY sTAT6 zIP TENANT PHS: CONTRACTOR Nom: its lug `° STATE LICENSE # ' -7 �EXP DATE p SUBIvHT A COPY OF n ,� 1 e_ Cly nip STA7� YOUR STATS ADDRESS: LICENSE WrM PHONEI x--'� Z l �— FAX APPLICATION PEP'M T TYPE SINGLE FAMR.Y 0 TWO FAMILY I3 TQWNHOIJSE TYPE OF WORK,. 13 NEW DETAILED DBSCFjP'n }N OF WORK, APER MS 16B.665 the permit five is a ruiaimum of $15.00 or 5% of the totAl cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the frxtures. (This should reflect only the cost of labor ) Labor cost undcr $300 = $15.00. Labor cost between $300 to $500 -cost of labor x .05 -_ FOR PRO=S WHERE 1,4BOR EXCEEDS $500, FEM ARE BASIM ON $ lo.00 FEA FD7URE, EXCEPT wB= NOTED. M[TURES: OMICATE TOTAL NUMBER OF EACH BELOW)1 SHOWER _ WATER PIPING FLOOR DRAINS _ BATH S1NKILAV SH WIN R POOL _ WATER SOFTNER ($35) BATHTUB GAS PIPING gawC� =w4 —BACKFLOW PREV. ($15) _ CLOTHES WASHER � S T WATER CLOSET FOR, OMOA71ON DISHWASHER —LAUNDRY TRAY WATER WATER ($35) OTHER WATER WATER it Fee large .50 DUE $� Number of fixtures @ $10.00 Number of fixtures (off $15.00 Number of fixtures @ $35.00 x 610,00 = $ x $15.00 = $ x $3$.00 = $ State Surcharge T S__50 Total = $'r. S- ,p TMS 1S AN APPLICA710N 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 orcWances 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 which requires review and approval of plans. SIGNATURE OF City of Fridley Building Inspeetians Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building [nspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE.2 td P e� SIM, =SS ® 0 THIS APPLICANT IS: ❑ OWNER YOUR E-MAIL ADDRESS Permit No.: Received By: Date Rec'd: S �� 3 2— ;(0)-OL� PROPERTY OWNER/ NAME: ;z '- TENANT ADDRESS: CITY t-1 qrleLj STATE ziP 3Z CONTRACTOR NAME: STATE LIC E # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE DISINGLE FAMIL SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STO PERMIT TYPE ❑ ADDITION❑ ❑ BASEMENT FINISH G GE/SHED OOF 2C9d.�� ❑ WINDOWS ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ W ❑ ADDITION gTEN ❑ REMODE G DESCRIBE WORK BEING DONE: SIZE OF IlVIPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE Ix DTTACHED GARAGE ETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS E! FA Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ %JT % *AD OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 ordin and des of the tity of Fridley p#dith the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' n f a .t and Ai to s without a permit; that the work will be in accordance with the approved plan in the case of all work hic re ' esre=LZT alans. SIGNATURE OF APPLICANT lJ NAMEP� DA