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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: _ Sept. 11, 1968 per: Donald L . Volsen Builder Same Ad&t% 161 Pilot Ave. N. E. _ _ Address SAME N9 9930 LOCATION OF BUILDING No. 161 .___.. Street __.. Pilot Ave. N. E. _ _ .,_._ Part of Lot Lot 8 __ Block Z Addition or Sub -Division ._ - Carl ,g On t s &jimm jt- Mannr IS a i th, Addn . Corner Lot --- Sewer Elevation To be Used as: Inside Lot Setback --_ Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth Height _ Sq. Ft. _ Cu. Ft. Front Depth Height _ Sq. Ft. _ Cu. Ft. Type of Construction Residing Est. Cost �500.00 _ To be Completed In consideration of the issuance to me of a permit to the proposed work in accordance with the description sbQ ordinanoas of the city of Fridley. in to do ns of In consideration of the payment of a fee of $ 5 .00 , permit is hereby granted to Donald Volsen 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 anypart 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-my-',tme uP.pn violation of any of the provisions of said ordinances. l Official Building Nj NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas boating, ewer or water. Be stn to es the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY NNESOTA OW -NEC dS NAME,x' Y BUILDER ADDRESS/ "� �' ADDRESS LOCATION OF BUILDING NO o/ G/ STREET ?!Ly 7- A, or o yy, e®, LOT 2 f{ BLOCK 2- ADDITION OR SUBDIVISION : "Au"A o, COR -%M LOT INSIDE LOT SETBACK SIDEYARD t SEWER ELEVATION TOP OF TOOTING Applicant attach to this forte. Tvao Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front Depth Height Square feet Cubic Feet Front Depth .Height. Squa.�e�cet Cubic Feat o -�' Type of Constructio'f e, -s.W - Estimated Cost,& �D 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 declares that all the facts and representations stated in this appli ation are true and correct. DATE /S / C� S IG?VATIIRE ! r A. .o1 4 2'�2 (Schedule" of Fee Costs can be found on the everse Side.) 0 53-811-s-915.51 City of Fridley iU9,lECT AT THE TOP 0P TNt TWIN$ r `r,.------ COMMUNITY DEYtWPMENT DIV, PLUMBING PERMIT APPL I CAT I O14 PROUCTIVt 09 tcTON a". r---` i CITY HALL FIND6RY bbdbt .� NImomRtv. DATE P"F OR ♦ OY 0 BY Job Address - 0 2 15 3 1 1 800 161 N. E. Pilot Ave. nonald L. Volsen aaaress 560-4%re I Contractor r MNNEGASCO Address Phone e733 MAFtQUETTE AVENUE of Building Frame on Date 3-13-71, se Res. :as Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU 1 x $5.00 5.00 tepairs & Alterations See Description: Code tate Surcharge Class 12A® Surcha"rge, .50s* .50 TOTAL FEE $ 5.50 ndersigned hereby makes application for a permit he work herein specifiedp agreeing to do all work rict accordance with the City Ordinances and ruling e Department of Buildings$ and hereby declare that he facts and representations stated in this cation are true and correct. nature 'aAs-n Date 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 :as Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU 1 x $5.00 5.00 tepairs & Alterations See Description: Code tate Surcharge Class 12A® Surcha"rge, .50s* .50 TOTAL FEE $ 5.50 ndersigned hereby makes application for a permit he work herein specifiedp agreeing to do all work rict accordance with the City Ordinances and ruling e Department of Buildings$ and hereby declare that he facts and representations stated in this cation are true and correct. nature 'aAs-n Date I SUBJECT P v1 S City of Fridley 23456 AT THE TOP OF THE TWINS BUILDING PERMIT f • COMMUNITY DEVELOPMENT DIV. tr --'--- PROTECTIVE INSPECTION SEC. r 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/13/95 JOB ADDRESS 161 Pilot Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28 2 1 Carlson's Summit Manor South Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Volsen 161 PILOT AVE NE 572-8826 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 ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 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 1 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 $2,500 $1.25 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 $54.00 Fire SC $2.50 PLAN CHECK FEE TOTAL FEE S • 75 SIGNAT RE OF CONTRACT AUT GENT (GATE' W P PERL A A ED THIS IS VO�1R ERMIT BLDG 'NSP PATE 'GNATU RE OF OWNER dF OWNER BUILDERI IDATEI I NEW ADDN ALTER Effective 1/ 1/95 CITY -OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ConstructionAddress: Legal Description: Owner Name & Address: Coiitractoi: Address: /L MN LICENSE # Tel.# .Attach to this application, i -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:Le-agthW'dth Height Sq. Ft. DECK AREA: n ndth Hgt/Ground . Sq. Ft. OTHER: Corner Lot, [ ] Inside [ ] F . Yd Setback Side Yard Setbacks o Type of Construction: Estimated Cost: $ S� " Approx. Completion Date: (Cost on Back) Drivew urb Cut Width Needed: Ft 6 F�t��t x = $ DATE: APPLICAN Tel. # CITY USE ONLY Permit Fee $ 7. C? Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 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: w. SuBjECT PE.R City of Fridley 29469 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIP �V �_��__ COMMUNITY DEVELOPMENT DIV. SEC. n� r PROTECTIVE INSPECTION OY E � _ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 5/14/99 JOB ADDRESS 161 Pilot Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION Carlson Ts Summit Manor SEE ATTACHED DESCR. 28 2 South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald L. Volsen 571-8826 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 INK REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (14 Sq) Tear-off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 $1119 $.60 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 $44.85 Fir SC $1.20 PLAN CHECK FEE TOT EE $ .65 fj11G/N/ATT1,RF, OFcel RA O A A16T,40RIZED AG T I ATE- H PROP V LIDA E HIS II PEA)MI unc, -NSP r � MATE SIGNATURE OC OW NEa -F OWN E R BUIL DE R- -DATE- NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLI ATION�� b ./ v L V Construction Address: Legal Description: Owner Name & Ad dad Tel. 7� Contractor: L 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 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: $--Z Driveway Curb Cut Width Needed: Ft 6 Ft = Ft x $ _ $ 7 DATE: "I'Y APPLIC Tel. CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ / • ZU .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: Building $3550. PLUMBING Permit No.:9-0 Inspections ____. BATH SINK/LAV RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Refit 763-502-4977 FAX � WATER SOFTNER ($ CLOTHES WASHER. _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. $1 EFFECTIVE 2-19-09 _ LAUNDRY TRAY DATE 09/11/09 YOUR E-MAIL ADDRESS wnelson@larsonplumbing.com SITE ADDRESS 161 Pilot Ave THIS APPLICANT IS: ❑ OWNER NCONTRACTOR PROPERTY NAME: Donald Volsen OWNER/ TENANT ADDRESS:_161 Pilot Ave CITY Fridley sTATEMN zIP 55421 PHONE: 763-572-8826 CONTRACTOR NAME: Larson Plumbing Inc SUBMIT A COPY OF YOUR STATE STATELICENSE # '5587'557 3341) EXP DATE _.._— LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: 3095162nd Lane NW CITY Andover STATE MN ZIP 55304 INSURANCE PHONE 763-427-7680 FAX 763-427-9448 PERMIT TYPE IN SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW IN REPLACEMENT DETAILED DESCRIPTION OF WORK Replace Water Heater FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER- OF EACH BELOW). MINIMUM FEE $3550. ____. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB _ GAS PIPING (NEED CITY LEC) � SWIMMING POOL � WATER SOFTNER ($ CLOTHES WASHER. _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. $1 —DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete ane 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 plaVno—Ne case of pllyftk whieh1equires review and approval of plans. SIGNATUREOPAPPLICANT _j_TUJM,,r I I WNTNAME Michael Maloniski DATE 09/11/09 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977