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PRE 2010 DOCS
BUILDING PERMIT Village of Fridley, Minn. Date ,,.,1!.l .................. . ....... . Owner . ..& 'of ............... Builder Address ... Address .................. 0 2202 ....................... LOCATION OF BUILDING No.. ff,# ..... Street ................. Part of Lot ....................... Lot ................ Block ................ Addition or Sub -Division ................ .................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard .:�.�'� ............. DESCRIPTION OF BUILDING To be Used as: .. , . �.. .. Front... Depth .i.'{, . Height %.. Sq. Ft.... I .. Cu. Ft. ........ ......... Front ... Depth ........ Height .. .. Sq. Ft.... .. Cu. Ft........ . ... .. .. ... . . Type of Construction1-0" "!:.. Est. Cost .. pop .... To be Complete Ac ©.... .... In consideration of the issuance to me of a permit to construct the building describe"agrjee the proposed work in accordance with the description above set forth and' in compliance ordinances of the village of Fridley. JI.conSIdaration of the payment of a fee of $. ! ..... permit is hereby granted to . r ` ... . ve. ..... to construct the building. or addition as described above. This pe -t is grant upon the expres condition that the person to whom it is granted and his agents, employees and orkmen, in work done in, around and upon said building, or any part thereof, shall conform. in all respects t � the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and mo ' g of buildings with-' in the village limits and this permit may be revoked at any time u on 'olationsof any of a he .of said ordinances. �f ------- •r' .,+f `�''��`•`. i wilding Inspector NOTICE: This permit does not cover the construction, installation or alteration for Wiring, plum Ing, gas heating, sewer or water. Be sure to see the Building. Inspector for separate permits for these items 0 BUILDING PERMIT Village of of Fridley, M' n. N° 29 8 8 Date..................... ... Builder �..... ...........Owner .... . AddressA/. Z�aS��................ Address ...................................... ,LOCATION OF BUILDING No. .. ..... Street .. ..................... Part f Lot ........................ Lot ...... r....... Block .... .!.......... Addition or Sub -Division c.o riser Lot ............ Inside Lot ............ Setback .� ... Sideyar ... ..................... gs ®Q L*jbe Used as: ... ..... ... 1 .................... ,l DESCRIPTION OF BUILDING Kj..�2- Front ./...... Depth Height ......... Sq. Ft. ..... Cu. Ft. ....... . Front ........ Dep ... Height ......... Type of Construction .............. Est. host . 114. � ............. Sq. Ft......... Cu. Ft......... To be Completed ................... p 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 compliancewith provisions of ordinances of the village of Fridley. �Q 1 i 1,111A _ _ . iG� ...'F .,W—. . . V. s tX p ................... In consideration of the payment of a fee of $..4`: s;. -.',"permit is hereby grante to W �... . ....................... to construct the building or addition as described abov . permit is grant pon the express condition that the person to whom it is granted and his agents, employees and workmen, in 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 with- in the village limits and this permit may be revoked at any time upon viol ion of any,0 the provisions of said ordinances. .. �'sor NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,000 BTU AIR CONDITIONING SYSTEMS AND DEVICES e PARTIAL RATE SCHEDULE 4.00 7.00 $ $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 GRAVITY WARM AIR: RATE TOTAL pp''II Job Address 184- Furnace Shell & Duct Work $12.00 $ ` Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 $10.00 $ Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU Replacement of Furnac) 4.00 7.00 $ $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING --\i $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ _S State Surcharge $ .50 TOTAL FEE � � ROUGH INSP. REINSPECTION FEE Date (.$10.00) FINAL INSP. APPROVAL FOR PERMIT 1G✓ MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applic tion are true and correct. Fridley, Minn. / '1972 OWNER KIND C USED A TO BE ESTIMP rLD DESCRIPTION OF FURNACE/BURNER �n HEATING or POWER �%PLAANTfSS, J�Steaam,, Hoot Water, arm Air No. ��/� Trade Name to L/ / L'yu Size No. �1TA_ � , / l /0 __�ffl Capacity Y U Sq -:-Ft. EDR BTU'___T _ HP Total Connected Load Kind of Fuel lk1�%(�L S BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company _ - r Signed By y yyamy C/1� Tel. No. 5�5 �//0J ra SUBJECT PER City of Fridley _ -1 8 3 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. 1 1 � • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/16/96 JOB ADDRESS 184 Panorama Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruth Graeff 184 Panorama Avenue NE 572-8260 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Home Products 3770 West Broadway, Robbinsdale MN 55422 521-9211 2332 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 0 ALTERATION REPAIR ❑ MOVE ❑ REMOVE R❑ 8 DESCRIBE WORK Reroof Garage 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2800 $1.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE UTHORI Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF PNY OTH ATE O LOCAL LAW REGULATING CON- $74.75 Fire SC $2.80 TR CTION OR E PERF R NCE NS UCTION PLAN CHECK FEE TAL FEE Licen SC 5.00/7 $83.95 SIG ATUREOFONT ACTOR OR (DATE) EN D ED THIS IS YOURPERMITC BLDG INSP �ERLYVA DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI ra NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 11 ov,a 6' t% Legal Description: Owner Name & Address: Contractor: Address: -57 7l? — Tel. #_jZ - j61 D MN LICENSE # a? 332, Tel. # 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: FWL el Estimated Cost: $ 280 0.00 Approx. Completion Date: 6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = (Cost on Back) Ft x $ = $ DATE:`j -�5 — �(� APPLICANT: i!1t1 .S; �i ey-y of h Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%a) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] rrorn. �ooro�4yoi ra e. �� rate. v�au.uuy �.ok.to rive Sui..lding MECHANICAL Permit No..�OCTI-w 1C?3 Inspections RESIDENTIAL A,.PPLICATION Received 13y; 763-572-3604 CITY OF FRIDLEY Uat 763502-4977 FAX ' EFFECTIVE 1.1 -Ott �r U 4A'r t YOURS -MAIL uDRESS�1'i,%>('�/1#�l'i-GOt�'� SITE ADDRESS fkylamo. THUS APPLICANT IS: O OWNISk ` &0NTAAC•1OR PROPERTY NAME, OWNER/ TENANT ADDZIP — PHONE: CONTRACTOR COMPANY NAME NOTE! SEPARATE CITY CONTACT' PERSON: rQ LICENSES ARE STATE LICENSE N EXP DATE REQUIRED FOR OAS AND HVAC. ADDRESS: Y'C�R. CITY '151"A, 1 A, STATF.,&V.IP SUBM.1T COPY OF BOND PHONE FAX AND INSURANCE PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY ©'TOWNHOUSE TVP'E OF WORK: D NEW REPLACEMENT ❑ ALTERATION/REMODU DETAILED DESCRIPTION OF WORK PER MS 16$.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $.00.00, whichever is greater, for the improvCmCnt; installation or replacement of a residential fiixwre, excluding the fixtures. (This should reflect only the cost of labor) OR Labor cost under $300 = $15.00. Labor cost betwccn $300 to $500 = cost of labor -x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE SASSD ON $10.00 PFA 12WTURE, EXCEPT WHERE NOTED FMTURES: (INDIC B TOTAL NUMBER OF EACH BELOW) s� , Equipment InsWled MFG: NL MODCL: SIZE/BTU l M1 U: MODIII. 41rF/1iTt1 MFC,: MODEL. SIZE/BTU _A/C $25.00 _FIKEPLACE (GAS) $15.00 GAS RANGE/OVEN SI0.00 _AIR'I70 Alk EXCHANGEER $I S FIREPLACE (WOOD) $35.00 NEW GAS GRII,I. $10.00 BOILER S-15.00 TFURNACF _, $35 00 _,CCAS, UNIT HTR $10.00 -'ITANNIN LtNFyR slo.0o _GAS DRYER $10.00 TPOOL HEATER VIS M DIJCT WORK $10.00 GAS PIPING $10.00 VIINALATOR S15 00 PERMIT FEB PRCIJECTS FOR LrNnF:R $50171 PERMIT F'CE POR P'ROJ>~I>~'I'S OVER $500 Permit Fce $ INP'4 Number of fixtures @ $10.00 x $10.00 = $ Surcharge Number of fixtures cr $15.00 _ x $15.00 = $ TOTAL OUR $'� , Sy OR 'Number of fixtures @ $25,00 _ x $25.00 = $ Number of fixtures Q 535.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM 515.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NIYI' VALII) UNTIL PROCESSED I hcmby apply for a meclwical permit and l ackeowlo* that the information above is complac and w4mte, that the work will bo in oonformpnec wnh the ordinanew ad codes of lite Cary of Pridloy and With Minnw= Con9truetion Codc a tend this is nut a Ionlit but only mi application for a permit and work by not to start without a pomiit., that the work will nce with the a Ian in i case n ratl work whichTVr1rfw4rc�v1cwnn d appiuvol ofpansSIGNATURE APP 1 A. PRINT NAME ea DATE APPROVED BY DA01 TE 'PLEASRNOTG: NEPA TE PERMITS ARE. RE UIkE.D FORBU1LDING. F..I..EC_TRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE. Fridlty, MN 55432 763572.3604 FAX: 763.502-4977 Z. Building Inspections 763-572-3604 763-502}-4977 FAX DATE From: /(7.i/*;jb120 Page: 1/1 Uate: �i/23l1(JUy 1:14:U4 PM PLUMBING RESIDENTIAL ,APPLICATION CITY OF FRIDLEY SITEADDRESS % `)'` MlleikalgA, E-MAIL ADDRESS Permit Received BydY va'AaMAR 2 3 20 9 U THIS APPLICANT IS: 13 OWNER CONTRACTOR ^171 00R DRAINS PROPERTY NAME: —CLOTHES WASHER OWNER/ _ SWIMMING POOL WATER CLOSL•T ^ _ WATER SOFrNER (S-5) TENANT ADDRESS: CITY STATE71P _ BACKFLOW PREY. ($15) PHONE..; CONTRACTOR NAME: 1,r, lalGl'r�i SU)A C OF YOU R STATEATE YOU ENSE # STATE LICI9b.A EXP DATE, IGS% 7a'� LICENSE, BONI) AND STATE BOND # EXP DATE CERTIFICATE. OF ADDRESS:1 _ 1'j/�',.+�5 ICITY '" STATE '% hIP INSURANCE PI[ONEJfdi : FAX PERMIT TYPE VSINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK:a NEW AFLACEMENT DETAILED DESCRIPTION QF WORK 1 dr FEES ARE BASED ON $10.00 PER FIXTLIRE.EXCEPT W[iERENOTED. PIXTIJRE. $35.50. .: (INDICATETOTAL NUMBEROF EAC.FI BELOW). MINIMUM FEE _. BATH SINKlL1.1V BATHTUB ^171 00R DRAINS SFI4WER WATER PIPING —CLOTHES WASHER K PIPING (NSD CITY LIC) KITCHEN SINK _ SWIMMING POOL WATER CLOSL•T ^ _ WATER SOFrNER (S-5) —DISHWASHER LAUNDRY TRAY awA'rER TI ($35) _ BACKFLOW PREY. ($15) — WA•1'ER MATER FOR IRRIGATION `OTHER �a Number of fixtures (a7 $10.00 X$10.00=$ Number of Axtures (a $15.00 x $15.00 m $_,^, a.� Number of fixtures Q $35.00 x $35.00'= $ State Surcharge $ a (MINIMUM $3&50) Intal =1 445 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and t acknowledge that the Information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the .Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work whicfi requites review and approval of plans. n SIGNATURE OF APPLICANT � PR.INT NAME • P�-"� �A TE 5 � L� City of Fridley Building Inspections Department 6431 University Avenue N.C, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977