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PRE 2010 DOCSCity of Fridley, Minn. 6431 University Ave. N. E:, Minneapolis, Minn. 55432 BUILDING PERMIT Date: _ June 15, 1972 0wnw: _Vern Donnay Realty Inc. Builder Same Address 7300 - 36th Avenue N. Address Same 533-2741 LOCATION OF BUILDING No 1176 Street — Osborne Road N.E. Part of Lot Lot 6 Block - 2 Addition or Sub -Division Meadowmoox-!Jerxace Corner Lot inside Lot - - X Setback —35.5' — Sideyard _ 10.5' A649Elevation 8992-53 Min_ ofg feet above water table Wye Top of Footing as rr Tahle — R96 1 Ap roX,) DESCRIPTION OF BUILDING To be Used as: Well iug— Front 321 _ Depth 94-4 Height _ 201 _ Sq. Ft. _ 777.6' Cu. Ft. _ 15, r. 2 _Garage Front 14' Depth 22' Height 10, Sq. F't. _ 308 Cu, Ft, 3080 Type of Construction Wood Frame Est Cosi -- 19,580 'To be Completed Sept. 1972 WATER LOCATION: 9' E.of Sewer Service SEWER LOCATION: 268.5' Ili East of Manhole Stipulation: This permit issued subject to stipulationsli in "Mutual Agreement" signed by Vern Donnay Realty, Inc. and dated lit June 14, 1972. 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 compl­nce with all provisions of Ordinances of the city of Fridley. f, J . 7% In consideration of the payment of a fee of $_3_4,Q0__, permit is hereby granted to Vern Donnay Realty Inc. 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 ftdley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Withinthecity limits and this permit may be revoked at any time upon violation of any of the provisions of said NOTICE: This permit does not cover the construction, installation for wiring, plumbing, pas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. f cz- 15 7- F or Appleatbn for Paper Pkints and Ham. Cooffaq. VendkiHonR Rob arloa and Air Conditioning System .and Devices PARTIAL RATE SCHEDULE GRAVITB WARM AYR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .............. .. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $S® each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ................ ' ............ 6.00 .$ — Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & lines—to 400 sq. ft. EDR Steam . .. . $10.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... .3.00'$— Each .00'$— Each add. 320 sq. ft. EDR Hot Water ........ .. 3.00 $ OIL BURNER—to 3 gal. per hour ..... ' ... ....... ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) .......:...... '......... 5.00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE 'ATOTAL 1st 3 Fixtures ...................... x$ 200 $ Additional Fixtures .................. x .78 $ Gas Range to 199,000 ........... xa SA0 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ i Dept. of Bldgs. Phone 880-%W City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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 facts and representations stated in this application are true and correct. /� w Fridley, Minn- I9 �I •ice Rind of Building Used as To be completed about -°%' 11j/ Estimated Cost, $ t Old NewBuilding Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO PLANTS��team, Hot Water,' arDAir No t size No I II'1-o Trade Name Capacity. Sq. �Ft. E.D.R � BTUJ H.P. Total Connected Load (!� Bind of Fue BURNER — Trade Names She No Capacity Sq. FL ILD -R- HF Signed 4024t By fiA�F Business Phone ' 'SEDGMnCK HTG. AIR-COND. W. 1001 Xenia Av. S. - 545-1611 (KEMARKS—OYER) Nnneapolis, Minn. 55416 City of Fridley pli !or rmmbbe and Gmu 8012 - - - Dept. of Bldgs. Phos SOD -3450 DESCRIPTION OF WORE L�ises I.� �L ®� %f® &41l: V. Number, Kind and LocaBion W nxtur" " PARTIAL RATE SCHEDULE PLUMBING FIXTUM RATES- NO. RATE TOTAL Number Fixtures ................ x $2.0o $ Future Fixture Opening .... a ...... x $1.60 f New Fixture Old Opening.......... x $1.50 f Catch Basin ..... x $3.25 f Water heater 'Up to 99.000 B7V) • • • . $3.00 $ O New Ground Run Old Bldg......... x $3.25 f Eaectrle Water Beater....... • • • • • .. a $2,00 $ GAS FITTING FEES-. NO. RATE TOTAL let 3 Fixtures .Z_ x $2.00 $ a• U O Additional Fixtures ............ • . x $ .75 : Gas Range to 199.000 BTU • ...... • .... x $5.00 $ State Surcharge $ .50 REPAIRS & ALTERATIONS- 4liefor to Godo _ Description 000000• •o....s r•...ow.0e ••................$ TOTAL FgE $ 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 atio�a�ree trruue and correct Fridley. Minn Z - Z �-,I$— owner .I9_ Owner D Kind of Building � Used as 12 To be completed about XZ ZZ E /,,7 Estimated Cost f 4 �� 0, Old New. uilding Permit No. Permit No. 190 -3 -ca, Signed By Business Phuae No Zo�Z ROUGH FINAL I City of Fridley 53-84-s-915.54 App ieatioe for PhndAng and Cv= Fft#kq Penn* Dept. of Bldga. Phone 380-34.'30 DESCRIPTION OF WORK 1376 N. E. Osborne Road Number. Kind and Locaflon of Flxturee ' Future Connattloa Openings I wnaema wua + New Fixture. Old Openings Cesspool ri Sewn a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ 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........ . Eleatrk Water heater .............. GAS FITTING FEES: 1st 3 Fixtures ..... • ........... . Additional Flsturea ................. . Gas Range to 199,000 BTU,. . — .... REPAIRS B ALTERATIONS—Reiss to Code x $3.25 $ _ $2.00 3 NO. RATE TOTAL x $2.00 i x$.75 $ 1 x $5.00 $ 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that aR the tact and representations stated In this application are true and correct Fridley, Adinn 11-6-72 19_ Owner Vern Donny Homes Inc. Kind of Building Frame Used as Res. To be completed about 11-13-72 Estimated Cost, $ 10.00 ' / XRkk-New. Building Permit No. Permit No. C Y� 7 _ Signed " A-"� By MINNEGASCO - Business Phone No ROUGH Description .............................................. TOTAL FM $ 'e Surcharge S; 50 (SURCHARGE $____.50) 8111MMMMMMMN1 EM 1111111 �h����� ' Future Connattloa Openings I wnaema wua + New Fixture. Old Openings Cesspool ri Sewn a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ 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........ . Eleatrk Water heater .............. GAS FITTING FEES: 1st 3 Fixtures ..... • ........... . Additional Flsturea ................. . Gas Range to 199,000 BTU,. . — .... REPAIRS B ALTERATIONS—Reiss to Code x $3.25 $ _ $2.00 3 NO. RATE TOTAL x $2.00 i x$.75 $ 1 x $5.00 $ 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that aR the tact and representations stated In this application are true and correct Fridley, Adinn 11-6-72 19_ Owner Vern Donny Homes Inc. Kind of Building Frame Used as Res. To be completed about 11-13-72 Estimated Cost, $ 10.00 ' / XRkk-New. Building Permit No. Permit No. C Y� 7 _ Signed " A-"� By MINNEGASCO - Business Phone No ROUGH Description .............................................. TOTAL FM $ 'e Surcharge S; 50 (SURCHARGE $____.50) SE HE F SUBJECT of Fridley6 6-9 f70 AT THE TOP OF THE TWINS BUILDING P E R M I T rCity R 3 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 7/12/82 JOB ADDRESS Patrick Dufek 1376 Osborne Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patrick Dufek 1376 Osborne Road N.E. 784-7251 3 CONTRACTOR MAIL ADDRESS 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 � NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Ela 8 DESCRIBE WORK Construct a 13' x 22' Addition to Attached Garage 9 CHANGE OF USE FROM TO STIPULATIONS WAR - G , petwe d'' uN IM ut""'es ER1�1� PfRSAlTS RrMIR�ED Me I"G, tElEPHOI - tECiRtC •GAS Etc. TING, PLU19gliNg OM SiGft Rt,#tRE© BY l.A►1lV 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 $2719 $1.36 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- $38.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $39.86 SIGNATURE FC BRACT ORAU OR¢E AG (DATE) WHEN PROPE V LIDATED THIS IS YOUR PERMIT V.SIGN BLDG INSP fi TE URE OF OWNER IIF OVAER BUIL RI (DATE) F CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) 0 IER: BUILDER: ADDRESS: _ �� LlwADDRESS: TEL NO: 7.-P! K ^ > �. TEL NO: Construction Location • STREET NO: STREET: LOT: BLOCK: ADDITION:�� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this fozm two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ ._ To Be Wr.ipleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the %1ork-herein specified, agreeing to do,a 1 work in strict accordance with the City of Fridley Ordinances and rulings of the Dvartment of Buildings, and hereW de ars that 1 ie facts and representations tated in this application are. , e g6rre9t. f , DATE: ?� /-j7 00A101- SIGNATURE: Stipulations: 3e. s(�7 SUBJE& O. City of Fridley 727963 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 = � 1 ""1 CITY HALL FRIDLEY 55432 IL A. ��� NUMBER REV DATE PAGE OF APPROVED BY ---- 612-571-3450 910415 3/2/99 JOB ADDRESS 1376 Osborne Road NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 2 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anoka County Community Action Program 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Enviro Therm LLC 35499 Dolphin St NW, Princeton, MN 55371 389-9521 9141 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 O ADDITION O ALTERATION Ek REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off; Reside House & Garage; Construct a 16' x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. R14,1 Before Armin; czll for all Utility locations 454-0002 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 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES FL-REBY AND THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX NO RDI $`GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ITH H THE THE GRANTING $10,384 $5.19 EC HEREIN OR NOT. OF A PERMIT D ES T REQS O IVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISI S OF AN T R STATE OR LOCAL LAW REGULATING CON• $174.75 F, SC $10.38 STR Ti OR THE RMANCE Of CONSTRUCTION PLAN CHECK FEE TO AL EE Lice SC $5. $195.32 u O CON' ORi2EDAGENT I I10ATdi;6N PR VALID THIS IS YOUR PERMIT iN5 q , E S-GNATURE OF OWNEROF OWNER BUILOM tDATE1OG Feb.24 '99 17:19 FAX P. 1 NEW [ ] ADDN [ l ALTER [ ] ConstructionAddress: Legal Description: CITY OF MMLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. Owner Name & Address: Contractor: m MN LICENSE �! Tel., 4 Address: 0 LIVING AREA: GARAGE AREA: DECK AREA: R• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MMOVEMENT - Length Length — Length Effective 1/1/99 Width -Z-4- Height Sq. Ft. , Width _ 7 Height Sq. Ft. Width _� (Gro Sq. Ft. l Q a la 3$y -2y OTIC ' C ®, r,71y M �J t Estimated Cost: $ Construction Type: �'_ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = -F x $. APPLICANT: DATE: Tel. N �l•Jt �o��rw 1. � 1,.. C. - T Permit Fee $ �y % Fee Schedule on Reverse Side Fire Surcharge $ CJ .001 of Permit Valuation (1/10th%) State Surcharge $ / $.50/$1,000 Valuation SAC Charge $ $1050 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: 7 2 _q way me. 65 N. 1. • "75 Nigh 4 Minneapolis, -Swrowy log Wise. $5432 Jesting Telephone 764-6066 ileal b"Oneering Engineers 19c surveyors Area Cade 612 it N jj'�dortgage Loan Survey for VEPW DOWN PC ALT YINC. "Y Z. I WD 0K OSBORNE RD. 75 n Scaled inch= .40 reet Denotes Jra:,n"4A1itY OCM 4A 13LOCk ;E F-PQAC V �a rt OS ME 11 r free end correct representation of a WWr way of /he boaadarief *0 the land above described end of the ;_hitatiowFa4 all boAldlogs, if any, thereon, a" sit wit way, from or a* said hod. This servey it in con"W60106 with a Mortgage, low" now being placed on f1so property oral we liability is. os*wM*d the bolder of seek Mortgage or any other Interest occloired by Me reason *, oath Merleag*. it Is "wr have been pfteed for the porpose of, o"ablkbi"O lot absee or h ry L gad this 1177 M7 ad '47 A. D. I q��. SUBURBAN INGIN51111"06 INC.. r4[lG House 16 11 16 11 4 IF . 37- 11.0t c LOT G n Scaled inch= .40 reet Denotes Jra:,n"4A1itY OCM 4A 13LOCk ;E F-PQAC V �a rt OS ME 11 r free end correct representation of a WWr way of /he boaadarief *0 the land above described end of the ;_hitatiowFa4 all boAldlogs, if any, thereon, a" sit wit way, from or a* said hod. This servey it in con"W60106 with a Mortgage, low" now being placed on f1so property oral we liability is. os*wM*d the bolder of seek Mortgage or any other Interest occloired by Me reason *, oath Merleag*. it Is "wr have been pfteed for the porpose of, o"ablkbi"O lot absee or h ry L gad this 1177 M7 ad '47 A. D. I q��. SUBURBAN INGIN51111"06 INC.. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432: 763-a72..vane .� __ APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK N1IMRFR nF MYTI IRFS Tn RF INCTnI I Fn nN I=Aru CI nnc Effective On Jan 1, 2001 ........... stories ............::�Uri ...... Showe ........Tra WashFloor ...:;€�:..... ..:.... ..::.:.: ----- . ----- ��.�.•:�"'`•:..�.....::: Gas RangeGas �€ � �.�:::::::... Water Heater Elec Basement Floor 1 Floor 2 +€€ o or F 3 Floor 4 >: PLUMPING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE TOTAL Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric .Water Heater - Gas*' Gas Range" Gas Dryer'* Back Flow Preventer Required ( )Yes O No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ %.00 $10.00 7.00 $;1±0.00 $1l?.00 Type $15.00 Reinspection Fee $47.00/He.7.. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS, 1.5% of Value of Fixture o ,Appliance State Surcharge TOTAL FEE C JOB ADDRESSt O� �4 C�' 1� �C 1 WI 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 Estimated Cost ��CO PERMIT NO. 45 PLUMBING COMPANYn0k��?M P�kx" I r•,. SIGNED BY TEL N0. Approved 8y Rough -In Date Final Date . $ .50 _ MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $20.00 $ O PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. , NOWTHEN PLUMBING, INC. COMMON VENT INFO 19960 FERRET STREET NW ELK RIVER MN 55330