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PRE 2010 DOCSDate: JULY 27, 1965 Owner: WESLEY S. ROBERTSON Address 1406 Lincoln Terrace N. E. Minneapolis 21, Minnesota N? 8274 Builder WESLEY S. ROBERTSON Address 1406 Lincoln Terrace N. E. Minneapolis, Minnesota LOCATION OF BUILDING No. 1310 Street Skywood Lane N. E. pmt of Lot Lot 1 _ Block 1 Addition or Sub -Division . HUT -BERG ADDITION Corner Lot _ Inside Lot Setback 351 Sideyard 1141 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DWELLING Front 54Depth 25 z Height 20 Sq. Ft. 1,375 Cu. pt, 27,500 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est, Ccet 122, 000, 00 To be Completed 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 f in com ce with afl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $28 ® 00 , permit is hereby granted to WESLEY S . ROBERTSON to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesotan$g location, construction, alteration, maintenance, repair and moving of buildings wig city limits ns permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN .BuDding Inspector NOTICE: *b psrMdt don not cam the andmcllon, hutaMen for wking, phwbhng, gas hedkg, www w waMr. Bs are to no 69 Building hW t r for apmft p mWk for thus flan. a APPLICATION FOR BUILDING PERMIT CITY.OF FRIDLEY, MINNESOTA, OWNER'S NM r r ADDRESS, ADDRESS, LOCATI -OF BUILDING '-' � N0. STREET .0 * ° m �` ' ". PART OF LOT LOT / BLOCK !' ADDITION OR SUBDIVISION " v r CORNER LOT INSIDE LOTSETBACK SS SIDE -YARD C3 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To used as; Front __� _Depth_�Height.�.�. Sq. Ft. Cu. FCA Front Depth Height__,,2o Sq. Ft. L.7-5-® Cu. Ft. Type of Construction_ Estimated Cost ZZ — To be completed /0 -2- 3 - The- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance faith 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 7 - 2.3 - C -5- SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). ` r 97- b-879001 APPLICATION FOR PLUMBING AND GAS FiTT1NG PERMIT 'PARTIAL RATE SCHEDULE In PLUMBING FIXTURE RATES: NO. �, a h%=bar rLctuxes x uu Future Fixture. Opening •, 43 $2.00 $ Water x $2.00 $ A x $5.00 w c -4 M ❑ $ � x $10.00 $ water Softener x •w .� U :J New Grourd-sawn Old Building � x C •W M Electric Water Heater - - 4 aJ OJ W 8 GAS FITTING FEES: 1A IA x $3.00 $ _ p p a $ .Gas Range to 199,000 BTU x ISA x •.[1 A a REPAIRS 6 ALTERATIONS w .L1 to +� N x First $100.00 $5.00 o as • l e c i, r u' 1 I Mc $ .50 TOTAL FEE vii $ 8.00 '1st I •c® vec • ye tad 3rd 4th ' 7-,(R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water 'PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL h%=bar rLctuxes x $3.00 $ Future Fixture. Opening •, i $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ r Water Heater - to 99,000 BTU x $5.00 $ 100;000 'BTU to 199,000 BTU x $10.00 $ water Softener x $740 $ New Grourd-sawn Old Building � x $5.00 $ Electric Water Heater - - x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ M ditional Fixtures x $1.00 $ .Gas Range to 199,000 BTU x $10.00 $ �� REPAIRS 6 ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State surcharge, $ .50 TOTAL FEE $ 8.00 i!R`r.ICAL. M,v ner .rnn Job Address 1 10_ ' +N�Sl=ood Lane Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes Application for A permit for the work t specified agreeing -to do all work in strict accordance with the City and rulings of the Department of Buildings, and hereby declares that t the facts and representations stated in this application are true And Fridley, Mn. $-24-77 , 19_ OWNER .Res Bendel KIND OF BUILDING fra•m -- USED AS res, TO BE COMPLETED ABOUTj�1-77 e ESTIMATED COST 1040 OLD - NEW BUILDING PERMIT No• company "'MINNE Signed By' M1NNFrAcrn Tel. No ROUGH INSP. Date FINFL INSP. Data ' APPROVAL FOR PERMIT e MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 e CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 1!fiatr Stories .8 13>1€ Urinal :Shower Wash Drirtk. : Floor ..Drin c Auto. W sh r .:.:::..Ran Gas ga Mid Water Heater EI ec�. Base e m n< f Floor 1 Floor 2 -------------- FI r 00 3 FI 4 oor PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS J"c Af> baffu) 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 O 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $/ :5�-. :53 ® 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. Owner ®_ Building Used As q Z.3 , 199 Estimated Cost PERMIT NO. PLUMBING COMPA!43 =1 -- SIGNED BY_—�,��r�� p Approved B Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SURCHARGE L Building MECHANICAL Permit No.: U I'D" Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: ~ l 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE % 3 2-!>% CD YOUR E-MAIL ADDRESS .1 Q . ,U Si� SITE ADD S /U THIS APPLICANT IS: ❑ OWNER MONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY a' STATE"ZIP j Z TENANT � PHONE: CONTRACTOR COMPANY NAME: ' v •�-. a CONTACT PERSON: h/ SUBMIT A COPY OF STATE LICENSE # 66 /.5- Z -� /Y7 DATE 0 2 I YOUR STATE LICENSE WITH /EXP 9 ADDRESS: / s S- G�f i T �Q .1/V CITY �l—f- -, STATEdLA) ZIP .0 2&y APPLICATION . 9S K B 8 3 PHONE 2'3 5/7 FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ZNEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL e DETAILED DESCRIPTION OF WORK 1 ! ru FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 i E K,MxY 7n40'`¢Nt `l 4 Gc* I 4 e' .• : � ,.,c� °� z,�..a.. � x,27 .. �', .. "�s._�:,.? � . ,rA 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 ork ' not to start without a permit; that the work will be in accordance with the not a permit but only an application for a permitFil approved plan in the case of all k i re and approval of plans. SIGNATURE OF APPLICANT PRINT NAME ' /(/ ATE -712 -Th- - 2 L APPROVAL INSPECTORS SIGNATURE DATE U City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977.