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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERMIT 0?767 No 6965 Date: Owner: o Builder..�i� Address Address �� L TIC,1gj O BNG No. Street �-_ P of Lot Lot 1Z __ Block Addition or Sub -Division . Corner Lot _. 0-11 /lInside t �. Setback .�._.__._.._ Sideyard Z Sewer Elevation _ ._ — _ -- Foundation Elevation -71 DESCRIPTION OF BUILDING T U Front Depth Height Sq. Ft. cu. nMA40 Frost .0-2 Depth Y7 Height —1,02—Sq. Ft Cu. Ft Type of coon Est. _ __ o be Completed In consideration of the issuance to me of a permit to construe b cribed above I agree to do the proposed work in accordance with the description above se ce with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_.5�' , permit is heUreby 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 1 ordinances. NOTICE: Thhi permit does not Bever the construction, hwtalhuton for wkhm plumbing, an heath* sewer or water. Be sure to as the Buihling hupector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT. CITY OF FRIDLEY,.MINNESOTA OWNER'S NAME BUILDNR•'� ADDRESS ADDRESS k? i /(�,-- o LOCATION OF DUILIANd No. � ® Street C,(j #C - b 0 of Lot Lot , Block. 2— Additioti or._ Subdivision Corner Lot Inside Lot Setback Side -yard SEWER ELEVATION F3i A FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey..of Lot and proposed build- iag location drawn on these. Certificates. DESCRIPTION OF BUILDING To be used ask, Front .+ _27- Depth Height Sq, Ft. Cu. Ft. Front ` c Depth S, Height - f-7 Sq. Ft. Cu. Ft. Type of Construction_ Estimated Cost To be Completed 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 declaresl that althe facts and representations stated in this application are true lcorrect.. SIGNATURE jSchedule of Fee Costs can be found on the Reverse Side). -IF Plicalioe for Power R=ft sed Heath% Cooling, VemnaftesRafrigeratloa and Air Coedhioeleg SysWus and Devices7 PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..... .. $10.00 $ Replacement of Furnace . .. . .. 6.00 t. Repairs & Alterations—up to $500.00 600 $ _ Repairs & Alterations each add. $500.00 3.00 $— MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $_ each add 60,000 BTU .................... .. 3.00 i 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 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) 8,00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ Zoo $ Additional Fixtures x .78 $ Gas Range to 199.000 X$ SAO $ AIR C01fDITiONIIIa FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL &- Z --2-,S-- (SURCHARGE %,S See Fee Schedule TOTAL FEE (SURCHARGE $_.50) Dept. of B1dga. Phone SWUM City of Fddley: The undersigned hereby makes application for a permit for the work herein 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. 11" Fridley, Minn- rd /!? is �- Owner V Kind of Building _^ Used as To be completed about ---1/ 7 Z Estimated Cost, Building Permit No. Permit No. "/j DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size Y4a Capacity Sq. Ft. E.D.R BTU H,P. Total Connected Loa Him of Fue r BURNER — Trade Nam Size 2-- Capacity Sq. Ft. E.D.R BTU i1GP. (REMARKS-OV[R) S Business Phone No- ��— 7 7,P/ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO RF WRTai t Pr) not =erre rt nnc Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS � 71�5O New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance s State Surcharge TOTAL FEE 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 K�� (s , 1996 Building Used As Estimated Cost 4;�� oo PERMIT NO.// PLUMBING COMPANy SIGNED BY TEL N0. �✓�✓?" "-��� A Approved By Rough—In Date Final Date $ .50 •. �•��+... � a.� rvn n�� r rLV MDI IYl7/ $ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. City of Fridley2 AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT P 612 6 r _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC.®� r'"1 CITY HALL FRIDLEY 55432 � I.J 612-571-3450 R T NO. NUMBER 910-F15 REV DATE 6/2/98 PAGE OF APPROVED BY JOB ADDRESS 6760 Overton Drive NE 1 LEGAL DESCR. LOT NO. 11 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Meadowlands 2nd Addition SHEET 2 PROPERTYOWNER MAIL ADORES$ Adolph Olson 6760 Overton Drive NE ZIP PHONE 571-0287 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B & B Roofing 6760 Madison Street NE, Fridley, Mn 55432 571-0248 9042 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (22 Sq) Tear-off 9 CHANGE OF USE FROM TO 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 $1,834 $.91 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUI OR THE PERF MANCE OF-CONSTRUCTION. $59.50 Fire SC $1.83 \ , PLAN CHECK FEE TAL FEE � �� Lice C $5 0 ;?$67.24 SIGNATURV CO TR ACTOR OR AUTHORIZED AGENT (DATE, F ROPY B INSP r VALQAff THIS IS 71UR PER T SIGNATURE OF OWNER0F OWNER BUILDERI 4DATE, NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION /�LD I t '�L 10 ConstructionAddress: Legal Description: Owner Name & Address:Tel. # Contractor: /a6 N U MN LICENSE5�02- Address: lv 7�O Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF U"ROVEMENT 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: L%/2o U Z Z -SL>7 Estimated Cost: $ 1031 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ,�'- J w f- Ft APPLICANT:C f /1 /L 4--'��% ��— Tel. # TOTAL $ 41 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ % _ .001 of Permit Valuation (1/10th%) State Surcharge $ / $.50/$1,000 Valuation SAC Charge $ $1000 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 $ 41 STIPULATIONS: SUBJECT ArtRWf NO. City of Fridley 32627 AT THE TOP OF THE TWINS ? BUILDING PERMIT RECEIPT NO. : COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. AO' r PROTECTIVE o i_---� ---- - CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 5/24/02 JOB ADDRESS 6760 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I1 2 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Adolph/Donna Olson 6760 Overton Drive NE 763-571-0287 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka, MN 55343 952-935-9669 2173 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 D NEW O ADDITION O ALTERATION IR REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace one bow window within existing opening 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. perpt Inspecllon Cards Will Be Mall0d To Home finer To host 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 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 $3,790 $1.90 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE 7 AL FEE License S $5.00 $107.,94 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR PERL ATED THI IS YOURP�EERMII)TT �V V S-GN4TURE OF OWNER .It OWNER BUILDERI (DATE, BLDG NSP TIATE NEW [] ADDN [] ALTER [ ] Construction Address: Legal Description: a_ Effective 1/1/2000 CITY OF FRIDLEY 612-572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address: Contractor: _ Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: "'%c�" Tel.#'7103.5%/-iV87 WAIMjNc. MN LICENSE # �� SA16i8fl8 Oldve Tel. # MWIW*6, NAV 55343 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP 11ON OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft �PonP�n ¢ ou > > hmo I VlAdow 'I.n�b , W15i4ra to uk�- Construction Type: la) L1)d 0 IA &44,Vft-XA400 Estimated Cost: $ I q® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: sld�� a' APPLICANT: 'I Tel. #b C, CITY USE ONLY= Call (612) 572-3604 for Permit Fees If mailing In application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3- %� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $• Dd $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 $ 102'.2y STIPULATIONS: