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PRE 2010 DOCSCity of Fridley, Mann. W? 8021 BUILDING PERMIT Date: June 24, 1965 LOCATION OF BUILDING No. 5705 Street Whey Street N. E. Part of Lot Lot _ _ 19 _ Block _� _ _ Addition or Sub-Dividon �QMgglakeview Manor Corner Lot Inside Lot _ _ Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost &1j20. 0 _ To be Completed New gtt. Garage 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 ah provisions of ordinances of the city of Fridley. o 9� V- In consideration of the payment of a fee of $-- , permit is hereby granted to Cobert Gordier _ to construct the building or addition as described above. This permit is granted upon d�cneinaroucennd and urn Saeid building, oroany p�artereof, shall o nfo m allrespeets to t�he�ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings wY city linoitsei this permit may be revoked at aqy time upon violation of any of the Provisions of saidord XUen Jensen Building Inspector NOTICE Thb perm* dos not emu dw eandmeNoe, n for *him phnAlno, an hoatti, sewer er WOW. Be aoro to $ea d- MkIlne hamar fair sopor rmulft for than hang. OWNER'S APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION 0 BUILDING$ Stre Part of Lot Lam. �_ _BLOCK ADDITION OR SUBDIV IO &s Cornet, Lot Inside LOT, Setback Side -Yard SEWER ELEVATION'M. UNDATIO'k ELEVATTo Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn.on these Certificates. DESCRIPTION OF BUILDING To be use as; Front Depth,_ ---�_°1---/Height /0 Sq.. Ft.Cu. Ft._ i4 i Front Depth �rHeight Sq. Ft. Cu. Ft. Type of ConstructionEstimated 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 declares that all the.facts and representations stated in this application are true and correct. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley SUBJECT PER ® " A Ow wM T THE TOP OF THE TWINS BUILDING PERMIT r I Z R `L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/21/78 JOB ADDRESS 5705 Quincy St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 6 1 Donnay Lakeview Manor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Robert L. Gordier 5705 Quincy St. N. E. 571-7253 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 sidentsal 7 CLASS OF WORK ❑ NEW 'El ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Mbstruct a 21'x13' Addition to Back of House 9 CHANGE OF USE FROM TO STIPULATIONS SEPLIRA E. PERMITS REQUIRED FOR WIRIN 1. Provide "detailed tz-05 esNigii fefotr cra G AND SItion Aping addiS. tion 061. . rov% de 2' x 10' floor joints 2 JC i3 I t , 01 �\ 3. Provide Energy calculations before capping addition WAR �O . Bihar 'dijgin& call ideal utilities. Tfiowk - ELECTRIC - GAS Etc. REQUIRED BY .t,AW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 273 3276 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. $3.48 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- $13.10 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK E TOTALFEE $3.28 $19.86 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) (0-A/- ��i jCINgEN PROP Y IDAM T IS IS OUR P RMIT ` y1'7 SIGNATURE OF OWNER (IF NER BUILDER) (DATE BLDG I SP DATE M' l CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Gar- - '('e e BUILDER: r Address: Jf%d�7 —. wt//2c JI�C' ,E Address: Tel. No.:.SZ / — % A $`3 LOT: G % BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form T<vo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 401P'o.a Front: :� , Depth: /3 Square Feet: Cubic Feet: _ Height: .Z Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: _ Moo swr< Estimated Cost: $ To Be Completed: 30 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 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 are true and correct. See reverse side for additional information. DATE: 6 ` l 7S SIGNATURE: t a sp SUBJECT PERMIT City of Fridley 16986 AT THE TOP OF THE TWINS B U I L ®I N G P E R M I T ' R ' COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE � I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/21/83 JOB ADDRESS 5705 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Bob Gordier 5705 Quincy Street N.E. 571-7253 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leo 0. Sanders 7813 Jackson Street N.E. 786-2860 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 X 8 DESCRIBE WORK Install drain the 9 CHANGE OF USE FROM TO STIPULATIONS Electrical extension cords can not be used as part of the power source to the pump. 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 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 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,200 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISI SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC I OR THE PER ORMANCE CONSTRUCTION. $38.50 PLAN CHECK FEE TOTALFEE A $39.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN, PROPERLY DATED THIS IS YOUR PERMIT BLDG INSP DAFTE SIGNATURE OF OWNER IIF OWNER BUILDER) - iDATE) sp CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATION FOR RESIDENTIAL BUILDING PEEWITS (Nevi, Alterations, Additions, or Repairs) OWNER: _ _ �1Lf2 BUILDER: P ADDRESS: , 5-76 ADDRESS: TEL 110: - �/ �S — S-3 TEL NO: Construction Location - STRI=T NO: STPJ=: LOT: %C/ BLOCK: ADDITION: tl1'�U S 1 v Corner Lot: Insiao 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 Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic feet: RYpe of Construction: Estimated Costs ' e Rb Be CDripleted: c Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ $ . SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the cork herein specified, agreeing to do ,all work ir, strict accordance with the City of Fridley Ordinances and rulings of the Delkirtment of Buildings, and hereby declares that all the facts and representations stated in this application aVe true and correct. DATE: SIGNATURE: r Stipulations: J SUBJECT E City of Fridley 19205 AT THE TOP OF THE TWINS BUILDING PERMIT r REG . ______ COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. 1 ; t 1 1 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/29/87 JOB ADDRESS 5705 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 6 Donnay ' s. Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Gardier 5705 Quincy Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. VanHeel Bros. Construction 11500 Oberlin Road, Minnetonka 542-9058 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 KI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install new-siding and roofing 9 CHANGE OF USE FROM TO s'nPULATIONS Roofing can. be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 ISTALLS 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 $6,170 $3.09 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- $62.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. N. N CHECK FEE TOTAL FEE aW $65.59 SI ATUR OF CONTRACTOR OR THORIZEDAGENT t0 EI WHEN PROPERLY V&eTqATED THIS IS YOUR PERMIT BLDG U AATE SIGNATURE OF OWNER IIF OWNER BUILDER] (DATE] J NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description:_. Owner Name & A dyes Contractor: Address: ��pc City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/86 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: ,YAAY G� 0-i- S i �� _� �6- 6-�� /_a to Corner Lot [ ] Inside Lot IBJ Ft. Yd. Setback Type of Construction: Approx. Completion Date: Side Estimated Cost: $ l Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee $ �_� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ ® A $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ �-� Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT . City ®f Fridley . 25647 AT THE TOP OF THE TWINS BUILDING PERM I T r O. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E � i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ,'j 612-571-3450 910-F15 10/29/97 JOB ADDRESS 5705 Quincy Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Gordier 5705 Quincy Street NE 571-7253 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 502-4777 20040630 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 X7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 3 windows in home 9 CHANGE OF USE FROM TO STIPULATIONS Replacement sleeping room windows must meet the State Egress Code. Install smoke detectors in all sleeping rooms and on each level of the house to meet 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 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 $2,510 $1.26 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 T07 FEE Lice SC $ .00 $83.52 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI E PROP VALIDAT THIS ISYOURPERMIT INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEIBL NEW [ ] Effective 1 / 1 /97 ADDN [ ] I CITY OF FRIDLEY ALTER [� SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUILDING PERMIT APPLICATION �� 3 ConstructionAddress: �(� lr`tG`� ST�, YV• r"Q,1 �L..L i�l'1 tJ ��2 Legal Description: Owner Name & Address: J4N Q, b- M (L % {5 p (L(J 1 Lam. Tel. # S7 • �] 2�`'S Contractor: �N. JIpC.. �a� Q p MN LICENSE # Address: 3 �C� "� AWG NG A=CtOkr„ ftlN Sq -37 Tel. # SZ1Z �'7� -7 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: Hf-4-OU1 dS IrJ - UQ*JE hr6TM+ CoMA.GM 1'rew Mi-fP 's Construction Type: Estimated Cost: $ ZS10 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft .. -x $ = $ DATE: 10' Z$ 'il APPLICANT: J I t -A S G ZSSr'�. Tel. # CITY USE ONLY Permit Fee $ �� °�� Fee Schedule on Reverse Side Fire Surcharge $ 2 • �T/ .001 of Permit Valuation (1/10th%) State Surcharge $ % r $.50f$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ O $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 $ �j L STIPULATIONS: _ SUBJECT PERMIT City of Fridley 29271 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T i `v ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC, E CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/22/99 JOB ADDRESS 5705 Quincy Street NE 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Gordier 5705 Quincy Street NE 571-7253 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Knutson Roofing & Siding 9307 Hillside Dr, Champlin, MN 55316 323-9238 2501 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 & Garage (25 Sq) Tear -off 9 CHANGE OF USE FROM 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 OCCUPANCYLOAD 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 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 HEREI R NOT. THE GRANTING OF A PERMIT $2,142 $1.07 DOES NOT PRESUME TO GIVE HORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHE AR PROVISIONS OF ANY OTHE ATE OR LOCAL LAW REGULATING CON- $74.75 Fire C $2.14 STR CTION OR THE ANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL/ E Lic se SC $ 82.96 A U EO N'RAC ORAUTHORIZEDAGENr iDATEi EN P OP A IDAT D IS I$ Y �„r r S,GNATURE Of OWNERof OWNER SUILOM �DATE� BLD 'NSP GATE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY \ ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 /\ BUILDING PERMIT APPLICATION ConstructionAddress:�U S ��A, �C,O Seo Legal Description: &5 - Owner 5 -Owner Name & Address: Gad iea Tel. # s 7l— 7�S Contractor: K4 U �YV -,,`Ss do'17 e, MN LICENSE # z �G Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Tel. # ---5z 3-P2-:36? Sq. Ft. Sq. Ft. Vf t.� �0 CIf F7 Construction Type: �i Estimated Cost: $ (Fee Schedule on Back) .Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: y APPLICANT: c�C ��' Tel. STIPULATIONS: CITY USE ONLY Permit Fee / $�7. CJS Fee Schedule on Reverse Side Fire Surcharge' $ i4� .001 of Permit Valuation (1/10th%) State Surcharge $ 1,017 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ U $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: G7YOE FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 29, 2002 Mr. Robert Gordier 5705 Quincy Street NE Fridley, MN 55432 Re: Final Inspection at 5705 Quincy Street NE Contractor: Norblom Plumbing Co. Dear Mr. Gordier: A plumbing permit was issued on May 3, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 t� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Renols All IRACCC nC CIYTI 10CQ Tn RC IAICTAI I Gil (lKi FAr_14 FI nnP Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS _"54AC ItS 61ZL)'E1- New. Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.001Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value -of Fixture or Appliance 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. -.off a.l •• p.asN $204550 GORDIER, R. 5705 QUINCY STREET NORTHEAST FRIDLEY, MN 55432 Owner _ (763) 571-7253 Building Used As��t�� Cess. Estimated Cost •.--t,,3L PERMIT NO. PLUMBING COMPANY O1��iL�?I� �Z.UI►? AJ(. SIGNED BY Approved Rough -In Date Final COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE 2001 Rao - -. - on PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS _"54AC ItS 61ZL)'E1- New. Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.001Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value -of Fixture or Appliance 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. -.off a.l •• p.asN $204550 GORDIER, R. 5705 QUINCY STREET NORTHEAST FRIDLEY, MN 55432 Owner _ (763) 571-7253 Building Used As��t�� Cess. Estimated Cost •.--t,,3L PERMIT NO. PLUMBING COMPANY O1��iL�?I� �Z.UI►? AJ(. SIGNED BY Approved Rough -In Date Final COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE 2001 NEW ADDN ALTER Construction Address: Legal Description: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION - QC,1;4C (763) 572-36 Idt V (763) 571-1287 Fa 9� Owner Name & Address: \ MA [to,0vv*\ Tel. # / a D L/ Contractor. !!�'I4 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 1 S Sq. Ft OTHER: /�? •/- v*� Construction Type: Estimated Cost: $ �o Driveway Curb Cut Width Needed: Ft + 6 Ft = F $ _ $ f- DATE: v 05 APPLICANT: Tel. # 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 $ Fee Schedule on Reverse Side Plan Review $ 19 Lf. I1 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1450 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 $ Hi A STIPULATIONS: t _I C9 NOV-14-2005 12:27 P.02/03 Building MECHANICAL Permit No.: " Inspections RESIDENTIAL APPLICATION Rived B 7.63=572-3604 CITY OF FRIDLEY D ( DATE _ YOUR EMAIL ADDRESS SITE ADZ)RE,SS j 6 � � -i i - Fr 1 " THIS APPLICANT IS: O OVIER DCONTRACTOR YROP)gRTY NAME: OWNERI ADDRESS: �I JI-PLj STATOOOV TENANT PHONE:P 60—NTRACTOR COMPANy NA1v.1E: 8 SUBMIT A COPY OF CONTACT PERSON: �1 d YOUR STATE STATE LICENSE 4 ATE- LICENSE TELICENSE WTIH ADIIR0S05 ��1� i� fir. CITY APPLICATION 1 J FAX e -� PERMYT TYPE TYPE OF WORK. FAMILY 0 TWO FAMILY O N7EW K,EPLACS14NT DETAILED DESCRIPTION OF WORD 0 TOWNHOUSE 0 AL mRATI0NNXM0DEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to S500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost folder $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 $500, FEES ARE BASED ON 510.00 PER MMRE,, EXCEPT WkWE NOTED• FDM-T -. ONDIC�� OTAL FOR PROJECTS WHERE LABOR EXCEEDS OF EACH BELOW) ° /-� -7CNUMBER Installed MFG J MODEL: SIZEM TU Equipment MFG: MODEL: SIZBtBT � U _ -" �� MFG: MODEL: 15.00GAS FIREPLACE (GAS) $15-00-::A � SIZFBTU ?.ANGE/OVEN 510.00 AJC $25.00 _ AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 ACE $35.00 JEW GAS GRILL $10.00 UNIT HTR $10.00 BOILER $35.00 S1 CHIIVII X LINER 5]0.00 G�AS DRYER $10.00 �v��.A V crr r.- rtn M ,,,GAS POOLMATER$:35.00 VM4TM ATTOR SI5.00 Permit Fee $ Number of fixtures @ 1 x — Surcharge 50 Number of fixtures @$15.00 x $15.00 = $ TOTAL DUE S - Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35,00 = $- S= Surcharge = $ .50 Total ;= $ THIS IS AN APPLICATION FOR A PERMIT -JOT VALID UNTIL PROCESSED I hereby apply for a building permit and I 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 appli 'on for a permit an or is not to start without a permit; that the work will be in accordance with the approved plan in the case of ll whic requir s review and approval of plaps. SIGNATURE OF APPLICANT PRimr ATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432