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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. No 2929 Date AJ`7.:--:�.,7.......................... Owner P. W. .. �/�....... Builder 11� ...................... . Address � .71? ....I?Cf ... Address ......................................... �11 %_ LOCATION OF BUILDING No. ...... Street / .�—. -e. �� ............ Part of Lot ....................... Lot .... /1�1........ Block .Z............ Addition or Sub-DivisionPX °�' ,v e Corner Lot ............ Inside Lot . % ........ Setback Sideyard ................ DESCRIPTION OF BUILDING To be Used as: . .. Front ^. Depth .�.. Height ......... Sq. Ft.. /a/� Cu. Ft, ........ 40. ....... Front . ®% Depth . Cdr% . Height ......... Sq. Ft. Cu. Ft. ........ Type of Construction' ... Est Cost .. . 7 -W® ...... To be Completed 4.` " 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 compliance with all provisions of ordinances of the village -of Fridley. .. prof the a ,r C� payment of a fee of $.,P. hermit is hereby granted t0 ................ . In co 1 e do toconstruct 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 with- in the village limits and this permit may be revoked at any time upon violatian of any of the provisions of said ordinances. // z _ 7 -LI r7f'... Building Inspector 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. 52-84.-,915.51 City ®f Fridley Applica lan fw Plumbing and Gas Fining Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 00 tj 6800 Plaza Curve Number, Kind and Location of Fixtures Location - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... .................... Water Heater (Up toBTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: x an $ 82'000 x. $ $1.50 x & $ $1.50 x 3.25 $ 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 true and correct. 6-8-67 Fridley, Minn 19_ Owner Amammealiarold Bwdue Kind of Building frame Used as res To be completed about 6-13-67 Estimated Cost, $ 10,00 Old—New. Building Permit No Pe No. 2 / By Business Phone No — x : $ x$3.00 — x 3.25 $ ROUGH 9y2 000 FINAL. NO. RATE TOTAL 1st 3 Fixtures ................... x $1 $ $2,00 Additional Fixtures ....n ................. x �C $ .75 .B� LT Gas Range to .............. 1 x $ ^'$400,3,6=7) REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ -0004a °pQC Z U? O S J (W9 0 Z 4 WATER HTR. o0 0p R N GAS ELEG to Base 1st T Ga arag 2nd 3rd 4th l� ° Future Connection Openings Connected With Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... .................... Water Heater (Up toBTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: x an $ 82'000 x. $ $1.50 x & $ $1.50 x 3.25 $ 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 true and correct. 6-8-67 Fridley, Minn 19_ Owner Amammealiarold Bwdue Kind of Building frame Used as res To be completed about 6-13-67 Estimated Cost, $ 10,00 Old—New. Building Permit No Pe No. 2 / By Business Phone No — x : $ x$3.00 — x 3.25 $ ROUGH 9y2 000 FINAL. NO. RATE TOTAL 1st 3 Fixtures ................... x $1 $ $2,00 Additional Fixtures ....n ................. x �C $ .75 .B� LT Gas Range to .............. 1 x $ ^'$400,3,6=7) REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ -0004a 53 -8L -S -915.51 City of Fridley - - pli=V ,em fu Pltmthgand . Dept. of Bldgs. Phone 360-3430 DESCRIPTION OF WORK 6800 N. E. Plaza Curve Number, Kind and Location of Fixtures pp V .t Y Z � g � • • WATER NTR. GAS il£G Base. Ist I Gt ll Ga 5 Gil 2nd 3rd 4th • Future connection Openings Connocte*aith * Now Fixture, Old Openings sew®r � Cesspool 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.....-.. ,.. x $3.25 $ Electric Water Heater ............ . s $2.00 Z .-WAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures —x$2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . ... .... x $5.00 $ City of Fridley: The .undersigned hereby makes application for a permit for the `cork 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 true and correct Fridley, Minn 7-9-74 Raymond J. Churack. Owner Kind of Building Frame Res. Used as To be completed about 7-16-74 Estimated Cost, $ 10.00 Old—NOMMullding Permit No. Permit No. 6.2c13 Signe & 04 &tgM� ROUGH REPAIRS Jr ALTERATIONS --Refer to Code .50 State Surcharge Description ... , , Install Gas Grill ............ _ 5.00 TOTAL M $ 5.50 ,lass ®}jam 'surcharge, .50¢ By Business Phone No TO: ZONING - NOTIFICATION OF INTENT Foster Family Homes _� s P unicipal y or Political Sub -Division (Street Address FROM: ANOKA COUNTY SOCIAL SERVICE ANOKA COUNTY COURT HOUSE ANOKA, MINNESOTA 55303 APPLICANT: e M/ rl�nm f� (Number of Natural Children under 18 in Home:aircle 1 2 3 4 5 ) ( Number) ) ( ) (Number of Foster Children included in License: 0(@ 2 3 4 5 6 7 ) (Circle Number) (Number of Natural Preschool Children in Home: 0 1 2 3 4 ) (Circle Number) (Number of Day Care Children included in 11cense:0 1 2 3 4 5 ) (Circle Number) DATE OF NOTIFIC.AT?ON: 5----36 -7�5 ZONING - NOTIFICATION OF INTENT Foster Family Homes R, -- TO: �& Munic or Politica i croci r �✓�� - treet Address FROM: ANOKA COUNTY SOCIAL SERVICE ANOKA COUNTY COURT HOUSE ANOKA, MINNESOTA 55303 APPLICANT: ate sion (Number of Natural Children under 18 in Home: 0 1 2 04 5 ) ( (Circle Number) j (Number of Foster Children included in License: 0 1 0 3 4 5 6 7 ) (Circle Number) (Number of Natural Preschool Children in Home: 0 1 2 3 4 } { (Circle Number) ) { } (Number of Day Care Children included in 11cense:0 1 2 3 4 5 } (Circle Number) DATE OF NOTIFICATION: '� ® ®��� TO: ZONING - NOTIFICATION OF INTENT Foster Family Homes (Municipaty or Political Sub-Olv1sion) (Street Address FROM: ANOKA COUNTY SOCIAL SERVICE ANOKA COUNTY COURT HOUSE ANOKA, MINNESOTA 55303 APPLICANT: ate (Number of Natural Children under 18 in Home: /00 1 2 3 4 5 ) ((Circle Number) ) (Number of Foster Children included in License: 0 1 2(y 4 5 6 7 ) (Circle Number) (Number of Natural Preschool Children in Home: 0 1 2 3 4 ) (Circle Number) j (Number of DaV Care Children included in license:0 1 2 3 4 5 ) (Circle Number) DATE OF NOTIFICATION: RA SUBJECT F E 9 MIT NO. City of Fridley 16346 AT THE TOP OF THE TWINS BUILDING PERMT r RECEIPT 1 w_ __ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. (j /1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"""11•� ,�J 612-571-3450 910-F15 8 18 81 JOB ADDRESS 6800 Plaza. Curve N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 12 3 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patricia Walz 6800 Plaza Curve N.E. 571-5843 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be.2nd but not 3rd roof. Install ridged galvanized valleys:. i ij 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 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 APPLICAi!ION 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 COMP4IED $5Q0 $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL ,THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE V, $10.50 NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PROPER Y VALID�AT�E�D IS YOUR A 11 ® o p -� � If 0--,4 ,/�W��HEIN ids' Ui' �C/� JTHIS gPERMIITT��' g(v SIGNATURE OF OWNER IIF OW NER BUIL DER) (DATE) BLDG INSP I 0AJE RA CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIUN FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OW14ER: PA-rt2t C_j a 1/4j z - ADDRESS: L-7oc) PLA,z -a Q _(ll_.uF_ TEL NO: _�")►— _SIj L? 2) BUILDER: ADDRESS: TEL NO: Construction Location STREET NO:` STREET: P LOT: a BLOCK: ADDITION: IQ 1 C.P C P F F K /0 L A a � GU 1-71. Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. Front: DESCRIPTION OF CONSTRUCTION Depth: Squane.Feet: Cubic Feet: Height: Front: Depth: Height: Square - Feet: Cubic Feet: _ Type of Construction:Estimated Cost: $� Zb Be CDmpleted: 9— an —_q Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the vork'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 application are true and correct. DATE: + SIGNATURE`:�a o � Stipulations: SUBJECT PE City of Fridley 0 6 4 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Sa�� I � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L , \ 612-571-3450 910-F15 JOB ADDRESScopion PCOIA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 111- ic' L, Z4 so SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CO�•(pI�7yp)�ACTOR SPHH E LICENSE NO. X /_��MAILADDRESS a p PrZIPP V ✓1f'�`T�� L.L-q(ar d.J &-W-S a7 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 3 Sr 4to.J P® 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTIONA� ZONING Sallf T. t,I CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT2-00 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 ��®� p� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT o ®® DOES NO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE a SACCHARGE PROVISIO S OF A OTHER STATE OR LOCAL LAW REGUL TING N- ST . TI N T PERFORMANCE OF CONSTRUCTION. / PLAN CHECK FEE TOTALFEE 001I, Io ! "o SIGNA7tdR O CONTRACTOR OR AUTHORIZED AGENT (D TE) .},IEN PROP R V THIS IS YOUR PERMIT A II JD C SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) BLDG INSP DATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OWNER: ��l riic �;� i9�1�r�/�� � ��'� r /�1�� 4i -,f ZrzPUI LDER : Z- ADDRESS: C �; °�1;VZ✓V 6C W;' ADDRESS: ' / ��✓ TEL N0: TEL NO: A 46-z Z' Construction Location STRMT NO: STREET: LOT: if 2 BLOCK: ADDITION: Corner Lot: Inside Lot: ®' Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION jrront: Depth: d Height: Square. Feet:Cubic Feet: .�� Front: Depth: �� r Height: Square- Feet: CC--) Cubic Feet: of Construction: acs/.� Type ����iEstimated Cost: $ aJ //C 9 MD Be Cbmpleted: > Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Tine 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 application arp, true and corregt,4 SIGNATURE: f r 01 sue.iEtT P , City of Fridley 27 X56 AT THE TOP OF THE TWINS C D B U I L ®I N i�' PERMIT A A I i V r C'\'v 1 AscZeLmer— � • COMMUNITY DEVELOPMENT DIV. -------- r R37® SEC. P'37'2-'3W4 /L CITY HALL FRIOLEY 3532 -UMBER REV GATE PAGE Of APPROVED BY L J` 612-571-3450 910415 9/18/98 JOB ADDRESS 6800 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 Rice CReek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John & Teresa Collins 571-6575 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hetherwood Construction 3523 Hennepin Ave Minneapolis 55408 827-6019 20038828 a 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 O NEW O ADDITION O ALTERATION (3 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (23SQ) 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 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 1 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION $1,971.00 SURTAX $.98 WITH WHETHER SPECIFIED HEREIN OR OT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHO TY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE 0 LOCAL LAW REGULATING CON- Fire SC $1.97 STRUCTION OR TH FORMANCE OF ONSTRUCTION $62.25, PLAN CHECK FEE TOTAL )US..NATURE Licen SC 0 $70.20 OF CON -a MoF4ED AGENT DATE1 ENOPRO V VALIDATEDIS IS R PERMIT � G S.GNATUAE OF OWNEAof OINNER BUILDER, (DATE. BL G INSP FIAtE f r 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z AD BUILDING PERMIT APPLICATION ConstructionAddress: a r Legal Description: Owner Name & Address:Iylt Tel. #.571-- 6S �S . Contractor: #1e At r Woe) qG con 2�Eu C4 Ic a V) MN LICENSE # -® 02 F f 2 g Address: 2 , j� ��r l,✓ �C� � /� Tel. # 1j2J 7— 6c / 7, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: t2� Q0(0 11! VAri u e— �A Qk Vi Cly. o Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ / / , (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Vla Aw APPLICANT:_del. # PO f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $----90,.20 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] s