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PRE 2010 DOCSCity ®f Fridley, Minn.. U° BUILDING PERMIT . 1094 Date: Februga 10, 1971 Owners Roger Larson Builder Donco Builders, Inc. Address 1052 Osborne Road N.E. Address Same _ No. 170 Street Rice Creek Terrace N.E. ____ part of Lot Lot — 1 _ Block 2 Addition or Sub -Division . Rice Creek Plaza South Addn. Corner Lot —_X _ _ Inside Lot -- Setback -- Sideyard SMWElevation 834-80' — FEBMURUMPAWn 837.80' Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 26 1 Depth 40 Height 20' Sq. Ft. 1040' Cu. Ft 20,800' Garage Front 26' Depth 22 Height 10' Sq. Ft, 572' Cu. Ft. 5720' Type of Construction Fxame Fit, Cost _j"8 000 _ To be Completed May: 1971 Verify basement location by survey. Hardsurface Drive. Provide 2nd print. E SEWER LOCATION: 73' E. of Manhole WATER LOCATION: KI 63' E. of Manhole 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 rth and in comp with all provisions of ordinances of the city of Fridley. y In consideration of the payment of a fee of - 510 - permit is hereby granted to Donco Builders, Inc. 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, Mizmesota 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. ��L •�%//..�.L E� Building Inspector HANK MUNICH NOTICE: lbb permit don not cover the construction, installation for wiring, plumbing, gas heating, rower or water. Be sure to we the Building Inspector for separate permits for these Kenn, s _ l APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S WAME:2 13UILDER: �r ADDRESS:—/0 4-�? 0,404z-,,�� ADDRESS: - NO:. STREET LOT: BLOCK:_ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: Front:_ Depth: Height: �Z / Square FeM- D Cubic Feet: Front:Depth / Height: / 0 � Square Feet; Cubic Feet:-� Type of Construction: Typ ����� , Estimated Cost: � To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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: P (See Reverse Side For Additional Information.) --JA -731 � 4 .5 Tc(O FOG Y-3 A(V, 0, E 4 -2- el 6 -2- City of Fridley Appllicallon for ftmbbg and Gass M"11" Faimb Dept. of B1dge. Phone 960-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location f, �¢tj, t �j y��j7( e • PARTIAL RATE SCHEDULE PLUMSING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ /0 O 0 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 $ -3-06 New Ground Run Old Bldg......... x $3.25 $ Electric Wates heater ............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $---!!•-o Additional Fixtures .................. x $ .76 $ Gas Range to 199.000 BTU ................ x $5.00 $ REPAIRS & ALTERATIONS—Rotor to Code Description ............................................... $ TOTAL FEE $ 19,5 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 aA the fact and representations stated in this application are true and correct. Fridley, Minn o� 197-1 Owner Kind of Building Used as To be completed about 30 - 7 Estimated Cost, $ Old—New. Building Permit No. Permit No.� Business Phone No ROUGH _ FINAL s �� WATER MTA. GAS ELEC oa Base I 1st 2nd 3rd 4th • Future Connection Openings COQ with * Now Fixture. Old Openings n Cesspool ❑ PARTIAL RATE SCHEDULE PLUMSING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ /0 O 0 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 $ -3-06 New Ground Run Old Bldg......... x $3.25 $ Electric Wates heater ............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $---!!•-o Additional Fixtures .................. x $ .76 $ Gas Range to 199.000 BTU ................ x $5.00 $ REPAIRS & ALTERATIONS—Rotor to Code Description ............................................... $ TOTAL FEE $ 19,5 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 aA the fact and representations stated in this application are true and correct. Fridley, Minn o� 197-1 Owner Kind of Building Used as To be completed about 30 - 7 Estimated Cost, $ Old—New. Building Permit No. Permit No.� Business Phone No ROUGH _ FINAL s �� GRAVITY WARM AIR: RATE TOTAL Furnace Shen & Duct Work ...........................$10.00 $ Replacement of 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ — Repairs & Alterations each add. $500.00. 3.00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each acid, 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 ... . ...... I ..... 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 $ Additional Fixtures 'x .75 $ Gas Range to 199,000 ........... g$ 566 $ AIR CO>�DI1`IONIIIG !� FAN HEATING SYSTEM See Fee $cis VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $�L_L�_ 3 - 7/ 11 1 Dept. of Mdga. Phone City of Fridley: The undersigned hereby makes application for a permit for the work hereic 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, . Minn- Diad of Used as To be completed about Estimated Cost, OI New Building Permit No. Permit No. / C DESCRIPTION OFWORK HEATING or POWER team, Hot Water, Warm Air—No-2-- Tirade ir—No 'Trade Nam Size No -/10 Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load 7 _ 6 Kind of rue BURNER — Trade Name Size No - Capacity Sq. Ft. E.D.R BTU H.P: (REMARKS -OVER) SUURBAN AIR CONDITIOIuma. Signed 841.9 cFIuTRR DRAM MINNEAPOLIS,@ MINNZSOTk 65433 By Business Phone Nn CITY GF FRIDL EY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN SW2, APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, � 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS -1'7 D ZA�. RATE §CHEDI&E The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and FurnaC&Jbkl and Duct Work, Burner — a0 rulings of the Building Division, and hereby declares that all the facts and Als epla arca mac $ 20.00 %,O i representations stated in this application are true and ` Gas Piping (Needed with new fumace) $10.00 $ G� Gas Range OWNER U $ 10.00 $ BUILDING USED AS G:7 s 10.00 ESTIMATED COST- PLUS OST PERMIT NO.77 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be piaced in a side yard without written permission from adjoining property owner. f , e HEATING COMPANY' Signed By Date � 1 t ,�s �tc::t, L.VJJ �.na.�.vc.at�tJtvJ---«tlL3�lCl.y=hHtVtll,lVtV`trViyt!"Hlyt -- J'111VlVCft1'UU3,MIN1VES0TA tVeatherstrips I A.S.11.UE Consttuetion No. Insulation -- _ Guide Windows Unors Refet•enc@ Out. Woll, Int. Wall Ceiling Roof Floor Kind flow Applied Yes -No Yes -,No- 1g _ _--- - _ . ~Rooml Length Width f-Idi ht M. Room Length Width_ __ t{eight. Windows and Doors - Cracka a and Area Windows and Doors -Cracka a and Area No. Width Ifeight No. of Lineal ft. Area. ¢'�—-"- / rtf No. Width Height No. of Lineal ft. Arca. of pane of pane lights of crack sq.ft. -rpA f or pane of pane lights of mck sq. ft. 14V ed - 1� r 0 . l _. J_. J_:12 1__11 lnrlt►atinn � �ihcg F -p, wall,- Net all_-[et exp. Nall lilt. wall Cail. or floor Toml nttt. Requited sq -ft. E.D.R. or sq. ins. W.A. Leader oft Windows and Doors. Cracka_ a Ind Ared - No. 1 Width Itelght No. of I Lineal k Atei. I of pane of pane lights of crsek I tq.ft. fnfill.MliRn _ exp, wall_._ Viet exp. wall lilt. will 1-61. or floor I Void Bbl. i ,- hilted sq. ft. R.D.R. or sq. ins. W.A. Ledder area •._..i�u...Ya u�tu L/VVt i - l im rsa G anu mea tin. j WMth I Itelght of pane of pane No. of light§ Lineal ft. Area. of etack sq.ft. infiltration t MissNr F x p. wall . tet exp. wall lilt. wall Nr .rA-_-or floor fi15SU ,,,..► ata. +irtcu ,+l.ft. F.D.R. or sq. ins. W.A. Leader ared Infiltration _ Glass Exp. wall _ Net exp. wall Int. wall Ceil. or floor Total Bin. i E.D.R. or sq. ins. W.A. Leader area II Room Length _Width_ height - vtnuuws and Doors - Cracka a and ArEa _ Ne. Width f Leight rNo. of I i_ine.i W Area or pane of prate light3 or II crack II sq. R. Coef. Btu -- Cmf. Dtu infiltration — Class Exp. wall — --_ --- - - -: Net exp. wall int. wall Cell. or floor TOW Biu.- ttequited sq.ft. E.D.R. or sq. ins. W.A. Leader men 1 —, G W hLJ— Room.�entrth.___ Width Neit!ht Indows and Doors - Crack nee and Afea­j______..'_­.'__ No. WidthT height Nn. r[ Lineal tt. I Are,. I of panel) of parte I lights of crack I sq.ft. I I I I(:oef. Btu Infiltration --- - tllass------• I;xp. wall — - - Net ekp. wall _^ lilt. wall - -- Cell. or floor J Total Btu. Required sq.ft. E.D.R. or sq. ins. W.A. Leader area Building $ BUILDING See Back Page for Fee Schedule Plan Review Permit No _29!P1 - 0 _-� Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ `mss , 00 Received By: i�A 763-572-3604 $ CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 License Surcharge Date Rec'd: '_:�_ — 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-09 ft + 6 ft = ft x $21 =$ Erosion Control DATE 1d YOUR E-MAIL ADDRESS $450 Conservation Plan Review SITE ADDRESS $ Fee Determined by Engineering THIS APPLICANT IS: ❑ OWNER ONTRACTOR Agreement necessary ( ) Non Necessary ( ) PROPERTY OWNER/ NAME: ,° �' Make checks vavable to: Citv of Fridlev Attach Stiuulations TENANT C ADDRESS: I`GiTYSTATE 74'►zIP PHONE: — i CONTRACTOR NAME:�G SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # Z3 � v EXP DAT AND CERTIFICATE OF ADDRESS: % CITY STAT A ZIP INSURANCE PHObIE FAX — 3 -3G — a - PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED IMINDOWS ❑ BASEMENT FINISH❑ROOF [I DRAIN TILE ❑ DECK +CSSI \DING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ®1IAINTENAN PAIR I 9 ❑ REMODELING DESCRIBE WORK BEING DONE: / a� SIZE OF IMPROVEMENTILI' LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 3� / FOR NEW CONSTRUCTION INCLUDING DECKS, y . M It ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum inum �o C9'frim 1. Site Plan/Survey showing the existing structures ❑ Other ascia and proposed project. WINDOWS 2. 3. Two sets of construction plans Energy IN IN EXISTING OPENINGS es ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED v ( NUMBER OF WINDOWS o� G ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ le 3C_a OCCUPANCY TYPE Permit Fee $ i , :25' See Back Page for Fee Schedule Plan Review $ /' 65% of Building Permit Fee Fire Surcharge $ `mss , 00 .001 times the total job valuation Surcharge $ (0t,00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ '& $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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 $ ,° �' Make checks vavable to: Citv of Fridlev Attach Stiuulations 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans.(J Q� �� ) �j SIGNATURE OF APPLICANT PRINT NAME : f / /�-[ X2 V DATE �� /