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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° 4248 Date 1 � , Owner:.. . ...; . _...... - ............... - ................ Builder ................._.........._.._............._... _.._..... Address ------•-------------. --- .......-.._.._..._..._ _...__..__.._........._.._ Address .................. ... ........ ................... _._.._......._._._._._._._.._ �!y`� z-' WC --/ OF BUILDING No. 137— ...-� Street .....�1z-• W - !r �--------- .............. Part of Lot ..... ...................... Lot ...............�............... Block _...... ......................... Addition or Sub -Division . ....:........-._..�. CornerLot .................................... Inside Lot .........�------............. Setback ............ ....................... ......... Sideyard-----.............-....--------._...........-----------•------.._. Sewer Elevation ...... ............................ .............. .............................. ....................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ............. Front 3t2. -----P Depth a/ V'!—GP Height . ..' Sq. Ft. Aofd Cu. ................................................... Front ........................ Depth ............ . Height � .............. Sq. Ft....................... Cu. Ft. ...................... Type of Construction..- Est. Coit .. �/...�i ...a?._�"� � 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 c mpliance with all provisions of ordinances of the cityof Fridley. t Y , X .�e :... ... _................. ..........fit zy1.._...._.._.. 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 time upon violation o�f the provisions of said ordinances. 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 hems. J SUBJECT City of Fridley N 20149 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. / r PROTECTIVE INSPECTION SEC. 3 7 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE� PAGE OF APPROVED BYj 612-571-3450 910-F15 10/6/89 JOB ADDRESS 1578 Osborne Road N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAILADORESS ZIP PHONE George Chilstron 1578 Osborne Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S. & S Construction 1586 Osborne Road N.E.x Fridley, 55412 784-9793 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 Rexoof & Reside Duelling 9 CHANGE OF USE FROM TO STIPULATIONS On all new roofs or t^zr•offs and rr"!t r"Ment roofs, Stat; Code requires than: 2 layers ;; 15 1). felt, mopped together, be instar;; d to a point 24 inches up from exterior wall line, or the use of other approved underlayment membrane,, 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,000 $2.50 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- $72.00 STRUCTION, OR THE PERFORMANCE OF CONSTRUCTION. J( P AN CHECK FEE TOTALFEE �o � � ��'• � �� $74.50 � SIGNATURE O CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPERLY VA TED THIS IS YOUR PERMIT /Cl SIGNATURE OF OWNER IIF OWNER BUILDER$ IDATEI BLDG INSP f)AT J NEw [ ] ADDN [ ] ALMER [�]' R-1 AND R-2 Building Permit Application Effective 5/1/88 Construction Address: J 17&' 0.5,8 a £ R Legal Description: -©i �?� Atn ? �Q� � � l i(F � � C s--yc owner Naive & Address: A? L Q4 cT n 10 Tel. Contractor: S4 S Tel. Address: _ l S";& 6 o o Attach to this application, a Certificate of Survey of the lot, with the proposed bion drawn on it to scale. tarT CF II DVH�Tr LIVING AREA: Length Width Height Sq. Ft. GXRAM AREA: Length _ Width Height Sq. Ft. DECK AREA: length Width c� Hgt/(round Sq. Ft. vin . ,,1 .a 19 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:� ®G� i � Estimated Cost: Approx. Completion Date: Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: %® G APPLICANT: °V Tel Permit Fee $ State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPUTATICNS: $ / •� 3-s-• 6 0 X09 CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering tram Agreement wry [ ] Not Necessary [ ] L aeA1SE-1 PITY QF FRIDWY INSPECTION DIV. Effective On January 1, 1991 @431 Universlty Ave NE Fri fty, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-35Q4 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1,S-79 RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Bumer - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ 4 that all the facts and representations stated in this application are true and correct. a -3 11 993L �p Gas Piping (Needed with new furnace) $10.00 $ /�l ® ��A J _ OWNER Cid fZO2 Gas Range $ 10.00 $ BUILDING USED AS 1<12es Gas Dryer $ 10.00 $ ESTIMATED COST 3=� v® PERMIT NO. 1e>� 'Air Conditioning - All Sizes $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs &Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units_ d Circle One (Steam) (Hot Water) ar Air Trade Name _ A C.._ Size No.Ni16c Commercial/Industrial BTU 7 K� GD - HP EDR 1 % of Value of Appliance or Work $ Fuel_ A44 -7-4C f c' Total Connected Load— s—® c� State Surcharge $ .50 Burner Trade Name /rL Size No. BTU 3 �o� � HP EDR TOTAL FEE $ �,�� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATIN Signed Approved BaF Rough -In Date Final Date N- f o - u - FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney c 1. Has been carefully examined s ( ) 2. Is a from rust or deterioration f --'`f Yes ( ) 3. Has no for n objects lodged w' �in Yes ( ) 4. Is securely suppo d Yes ( ) 5. Meets all current size and total B 's 6. -Has total ating BTU's of All o er BTU's BTU's Remarks for tack: No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) List Alterations Being Done: HEATING COMPANY signed By e Date CITY OF FRIDLEY PERM o.: 2004-0 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 07/12/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 1578 OSBORNE RD NE PIN 123024110052 LEGAL DESC SPRING LAKE PARK LAKESIDE LOT 2 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 1,505.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE (13 SQ) TEAR -OFF STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 57.05 1.51 BLOMQUIST EXTERIORS (20172580) 12601 HARPERS ST NE STATE SURCHARGE, VALUE 0.75 BLAINE, MN 55449- LICENSE SURCHARGE 5.00 TOTAL 64.31 OWNER BOB THOMPSON 1578 OSBORNE RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulat}ig^ onstruc 'on or the performance of construction. Applicant Date Bldg Insp DaJ d Z ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 3 % ZCl NEW [ ] CITY OF FRIDLEY ffective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. Address: I 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: Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft - Ft x117 IA7h�-- DATE:�=®�"' U APPLICANT: Tel. #612,6K9 7 6-7 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: SEPARATE PERMITS REQUIRED FOR WORK 0 rHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT O.: 2004-01626 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/17/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1578 OSBORNE RD NE PIN : 123024110052 LEGAL DESC : SPRING LAKE PARK LAKESIDE : LOT 2 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 2,148.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 8'X 8' AND A 13'X 8' DECK. APPLICANT BUILDING PERMIT FEE PLAN CHECK FEE 83.25 54.11 BOB THOMPSON 1578 OSBORNE RD NE FIRE SURCHARGE 2.15 FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 1.07 TOTAL 140.58 PAID WITH CHECK # 2271 OWNER BOB THOMPSON 1578 OSBORNE RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regul _ mg co tru ion or the performance of constrution. Applicant Date �( �� Bldg Insp d Date �, ly' SEPARATE PERMITS REQUIRED FOR WORK 0 rHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY --# 7 ?9 Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, N 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION / f , Construction Address: IS' 7 9 ® S bo r &J e, Y IV% t1f SS4/3 L Legal Description: Lo 4- a. I ®! k I La k -c. _f e-rr k Le, We S �de, Owner Name & Address: JSV,6 w. La ge, ®r Contractor. N MN LICENSE # Address: Tel. # 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: Construction Type: W® Estimated Cost: $� y c6l�.�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. FL XW Length �i Width ?� Hgt/Ground A Sq. Ft off' /3r -j- ---7 3 ~' 10 `a DATE: moi' J> Y 1® z/ APPLICANT: ko het 4 A -tkei m p5& -J Tel. # 1. lZ --TY J -101-1 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 If using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 $ L�® 4 STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-02104 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/17/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1578 OSBORNE RD NE PIN : 123024110052 LEGAL DESC : SPRING LAKE PARK LAKESIDE : LOT 2 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 18,000.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. APPLICANT A A CONTRACTING (20122824) 12425 53 ST N STILLWATER, MN 55082 OWNER BOB THOMPSON 1578 OSBORNE RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law re ting co traction or the performance of construction. AbDlic Date t Bldg Insp. BUILDING PERMIT FEE 293.25 PLAN CHECK FEE 190.61 FIRE SURCHARGE 18.00 STATE SURCHARGE, VALUE 9.00 TOTAL 510.86 PAID WITH CHECK # 2298 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ J CITY OF FRIDLEY tttective 4rirtuu4 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax TER [) BUILDING PERMIT APPLICATION Construction Address: / 7 D S .ra Legal Description: L e IM O (A 1 -S Of : y 3 L& k e - Owner Name & Address: J. Ob % uk f 0,0 nf Tel. # Contractor. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT It Length Width Height Sq. Ft Length 2 Width 2 '/ Height Sq. Ft Length Width Hgt/Ground Sq. Ft OTHER: V 7 ®v 6 Construction Type: VVa Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: /1 1 17 LID—V- APPLICANT: 9 O '� A0'um vk f S D'j Tel. # 6 / 2 09 q Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge i Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: SvL-rr L J ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R- � _(763) 571-1287 Fax BUILDING PERMIT APPLICATUN`+ ® '� Construction Address: l O S b CL Irfo C, Legal Description: L e 0 L K 1 S Or �,Vn Llc�e- Owner Name & Address: ob -T V-, PS o -1-J/5y6s S• d--�l�.l�n f- Tel. # Co 12- -S'F/ 4'84 `�' Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale., DESCRIPTION OF IMPROVEMENT I LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width 2 '/ Height �F� Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 31 Construction Type: Wo A- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: // /1'7 L& -- APPLICANT: 90.b Tel. # 6/ 2 S'�' /' q 09 q Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $; �%J?-_,' Fee Schedule on Reverse Side Plan Review $ /%D - &/ 65% of Permit Fee Fire Surcharge $ Is -. 190 .001 of Permit Valuation (1/10th%) State Surcharge $ 9, $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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: z