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PRE 2010 DOCSCity ®f Fridley, Minn. BUH DING PERMIT Date: _ Aug. 15, 1969 Owner: Curtis Bostrom Bider Address 6382 Baker Ave. N. E. Address Owner Same LOCATION OF BUILDING N° 10370 No. —_ 5652 Street Regis Trail part of Lot Lot 14 Block 2 Addition or Sub -Division parkview Oaks 1st Addn. Corner Lot _ Inside Lot __._x _ Setback 31' _ Sideyard _. Sewer Elevation 963.78 1 BONER manna 966.78 Top of Footing To be Used as: Dwelling Front 60' Depth 30' f 25 Height 20' Sq. Ft. Cu. Ft Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost u34 a 000.00 _ To be Completed SEWER LOCATION - 190' N. of Manhole or ANA -KKK- 49.8' S. of Manhole WATER LOCATION - 13.1' North of Sewer Location In consideration of the issuance to me of a permit to constru the building descri above, I agree to do the proposed work in accordance with the description above o and in comp th all ons of ordinances of the city of Fridley. Sr b $100.00 Sewer Connection Charge In consideration of the payment of a fee of $ 55.00 permit is hereby granted to Curtis Bostrom 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 ordinances. t Clarence BelislW NOTICE: 'fids permit does not cover the construction, installation for wiring, plumbing, gas heathM sower or water. Be sure to sea the Bullding inspector for separate permits for these hang. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME j,�� I ® �5)-�QBUILDER etl x e t -- ADDRESS all -eG 14r1/- - /thy ADDRESS �.k1 C/ / LOCATION OF BUILDING NO o S�sd�, STREET' /� t 5 T k a l LOT BLOCK ADDITION OR SUBDIVISION Pa kk li fv OSA s CORNER LOT INSIDE LOT_ Z___SETBACK 3 SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To.Be Used As: D -ew e d! 1 14 a Front g'6® Depth 3o Height Square feet```' Cubic Feet - O- r;a Front Depth Height Square feet Cubic Feet Type of Construction �� Estimated Cost To Be Completed �;/ !! / J 19,20 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. �-'y n DATE GC. r / SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) t sT� N9 502` Origin Permit for LUMBING AND GAS WTING F« N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of thisFee $ permit, DESCRIPTION OF WORK Number, Sind and Location of Fixtures 3 City of Fridley Stories a W � O Q A 3 v Q T C Q 7 m F 3 m m Y Q = m m = m Q 3 F 2 D a 0 o a 3 y E Z t Z O_ aatl 0 a o OU m 3 dZ_ m V C J E Ii t O a W Za0 O C WATER HTR. GAS ELEC. Basement C, r / lot 2nd 3rd 4th Connecter with Sewer -Cesspool Gas Piping for `� Openings Owner &Z'4 -z Location Kind of Building. e Used as Permission is hereby granted_ � la4-� �� to do the plumbing and To be Completed gas fitting in the building described in the statement hereto attachel, upon express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and Estimated Coat $ d5/� ��� this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Old -New. Building Permit No. Z06 •526 Roughing in Inspection Date Inspector. Final Inspection Date Inspector. Inspector of Buildings. 4Z tae_6-69-v Cify ®f Fridley AppricAft ftw PMnbkg md " Pwmk Dept. of MdOS. Phone M-3450 DESCRIPTION OF WORK XunAmr, Kind and LoemHon of Fixftres PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 12 $ Future Fixture Opening x $1.50 o L d Z x $1.50 $ WATER HTR, x $3.25 $ 91 Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3.26 $ Electric Water Heater i $— 0 F N GAS ELEC. — x $2.00 $--Q I —&-r) Additional Fixtures .... .............. —x$.76 $ Gas Range to I999000 BTU ............... — X $6.00 $ - 2nd 3rd- 4th LVngwa Com waon Openings Connocftd wfth XQw Fixture, Old OpeninpSmer I Cesspool ❑ 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 $3.26 $ Electric Water Heater z $2.00 $— GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .. .... ......... — x $2.00 $--Q I —&-r) Additional Fixtures .... .............. —x$.76 $ Gas Range to I999000 BTU ............... — X $6.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ............. TOTAL F 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- Fridley, orrectFridley, Minn- 19 -kl* aOwner Kind of Building Used as —4WC1— To be completed about 14 f/ Estimated Cost, $ 01—Ne ;Building Permit No--- ;' d __Permit No. Sign sines Phone No_ ,5�— FINAL / 2 - / - 7/ Original PERMIT for Power flants and Heating, Cool= ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. o f _ I Heating Plants to b ans l ltered—repaired Make ,Size .. Oil fired ; Coal fired ; Gas fired_; Gas Authorization No. Remarks ^ I .AAA'l Pb � c Approved Final Inspection Date , 19_ Inspector Permit N° 4673 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., � a 1291 s9--, 19 n ,2 Owner � �[-uZ'- v►'1-� &dtL& Location 6,10 S' ---a Ama) i:� Kind of Building L-,, How Occupied=j- t � Work to be Commenced—, 19— To be Completed—, 19 Estimated Cost, $ 110 • ti C IQew, Building Permit N Permission is hereby granted toAIdD 7 r l t 2 _,.dd U.,u Zi ll� .----� to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2M 11-V v e Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR to ®-6 Furnace Shell &Duct Work to 120,000 BTU ............ $10.00 $ 42 00 each add. 60,000 BTU ....................... 3.00 $ 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) ....................... 5.00` $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ V-00 Additional Fixtures ................. x .75 $ Gas Range to 199,000 1 .......... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL lo' -1;2-71 $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 560-3450 City of Fridley: The undersigned hereby makes application for a permit for the work herein, specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, in e 19�� Owner Kind of Building`s Used as To be completed about Estimated Cost, , / 7 -S—et C Vffilm-New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name ✓�`� Size NoA 61 Capacity Sq. Ft. E. ®-6o BTU /�� H.P. Total Connected Load?, s-0 o Kind of Fuel 1 BURNER — Trade Name Size No- L g-6, 00 0 Capacity. (REMARKS—OVER) 4E Sq. Ft. E.D.R. BTU H.P. Signe By� Business Phone No.7e, �'� 131 University Ave NE idley, MN 55432 63) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT CM r%C MV rt ICCC T'r% 12C IAICTAI I Pn nN1 GAr'N P CSr)R LU MBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS1�✓� 1 ` ew Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein lid Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes eer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts ,low Off Basin $ 7.00 and representations stated in this application are true and correct. ;atch Basin $ 7.00 :ain Water leader $ 7.00 , 20 ;ump/Receiving Tank $ 7.00 1 Vater Treating Appliance $10.00 Owner Vater Heater -Electric $ 7.00 Vater Heater - Gas** $10.00 Building Used As Sas Range** $10.00 %J � .as Dryer`* $10.00 Estimated Cost PERMIT NO. lack Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY teinspection Fee $47.00/Hr SIGNED BY N0. kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By_ Rough -in Dat Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $i� — " PLUS THE $.50 STATE SURCHARGE 30MBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE - -- - -h Floor Auto.....:.'...:....:.Gas r . Water Heats Gas EI@CaStones �> Unnal � �. Shower Tray :�000, r Washer Range Basement went ::a.:.: Floor 1 `:;:�:: Floor 2 :::::::.::.:.: <.;..::::::.: .............. :<:•:?'i'"::•:'lv:jSjiii :::r:::'.::.:�: •:::•. ?iY�3't::: �:ytijY:::::i.....:.. I F o0 r3 ,Floor 4 LU MBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS1�✓� 1 ` ew Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein lid Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes eer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts ,low Off Basin $ 7.00 and representations stated in this application are true and correct. ;atch Basin $ 7.00 :ain Water leader $ 7.00 , 20 ;ump/Receiving Tank $ 7.00 1 Vater Treating Appliance $10.00 Owner Vater Heater -Electric $ 7.00 Vater Heater - Gas** $10.00 Building Used As Sas Range** $10.00 %J � .as Dryer`* $10.00 Estimated Cost PERMIT NO. lack Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY teinspection Fee $47.00/Hr SIGNED BY N0. kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By_ Rough -in Dat Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $i� — " PLUS THE $.50 STATE SURCHARGE 30MBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Building BUILDING Permit No.: 0o`I -O Inspections RESIDENTIAL APPLICATION Received By: 763-572=3604 CITY OF FRIDLEY Date Rec'd: �l SATE YOUR E-MAIL ADDRESS SITE ADDRESS a THIS APPLICANT IS: O OWNER CONTRACTOR PROPERTY OWNER/ NAME: , jv` f� Yl TENANT ADDRESS: S7v 57at-e—dj LS" CITY ' i �� STATE ZIP PHONE: &Ogt5- Y-2,' - ily(f CONTRACTOR NAME: �( / E` i`�` ✓;" r1� : �✓ STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: (05/er CITYi.. ►`J`� STATE ZIP_5,2�3-) WrM APPLICATION PHONE 70 -5 -?Y-0-31 FAX PROPERTY TYPE ASINCTIE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION O GARAGE/SHED O WINDOWS O BASEMENT FINISH ,ROOF O DRAIN TILE O DECK O SIDING O OTHER O SWIMMING POOL TYPE OF WORK: O NEW O ADDITION O MAINTENANCE/REPAIR QkREMODELJNG DESCRIBE WORK BEING DONE: -7--r,,229- -x,,229-SIZE SIZEOF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING / RHOUSE ONLY NUMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES O ATTACHED GARAGE I . Existing Floor Plan 2• Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O vinyl []Soffit ADDITIONS. & PORCHES SUBMIT: O Aluminum O Trim 1. Site Plan/Survey showing the existing structures O Other . O Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF*WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ �,,P ig- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ l .001 times the total job valuation Surcharge $ f, ®� b .0005 x Permit Valuation Minimum $.50 License Surcharge $ o $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $. Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ "-0,/'9 e5 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT'S PRINT NAME'! �'�' �r�� DATE /` '