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PRE 2010 DOCS681 Mage of Fridley, Minn. BUILDING PFA MIT' Office of INSPECTOR OF BUMDINGS 17 OwnerFs Architect 'Fridley, Minn-,"A'4z 19 —� Builder LOCATION OF BUILDING No. Street —Part ofLtst Lot —I Block Addition or Sub -Division DESCRIPTION OF BUILDING Front T Deptlil Height—Z— Stories Manner of Constructions' !'.�-I-A To be used as To be completed Estimated Coat L Permit Is hereby granted to to, -? i" I the building 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 In, at Minn.,und and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Mnregarding the 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. of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit,': I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota., this day off" A.D. 19 City of Fridley, Minn. BUILDING PERMIT Date: Sept. 28, 1967 Owner: Ken Kravik Builder D. W. Harstad Address 140 Tallmadge Way Address 7101 Hwy 65 N0 9470 LOCATION OF BUILDING No. 140 .— Street Tallmadgw Way pant of Lot Lot _ 4 Block 2 Addition or Sub -Division . Riveriyood Heights Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 20, Depth 30' Height 101 Sq. Ft. 600 Cu. Ft 6000 Pornh Addda - Front 10 Depth ____ 81 Height 10' Sq. Ft. 80 Cu. Ft. 800 Type of Construction Frame Est Cost $5000.00 To be Completed — Jan 15, 1968 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 ail provisions of ordinanoes of the city of Fridley. X &", 12- -;1--t) I -- In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to D. W. Harstad 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 reg location, construction, alteration, maintenance, repair and moving of buildiug8 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This pemb does net cover the construction, instalhMen for wiring, phunbing, gas hsn&& sewer or water. Be Sure to see the Buiidheg Inspector for sop -aft pwaft for these hens. Ot•T;:iER `S NAi•its _ F>t�,:'r,i1L•',Rxfi ADDRESS ADDRESS 7/ LOCA "T.ON OF BUILDj_�i-G a� .s STRE'1ETi2, PART OF LOT ­ LOT —BLOCK � _ ADDITION OR SUBDIVISI N COIMIEI: LOT INSIDE LOT SETBACK SIDE-YARD�- 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 Be Used As ; y Front -Z-0 Depth 3 c�, Height l� Sq. Ft. 050 --Cu. Ft.—6 cDco Front Depth Height_,__ - �C Cu. Ft Type of Construction CL� Estimated Cost—C�-c�e� 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 a d correct !� rte, . C'n " , . DATE�� -Z- � — C / SIGr1ATURE /� /C / (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PER City of Fridley 1416 AT THE TOP OF THE TWINS PERMIT , r BUILDING ECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i ---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L--__''� ,•� 612-560-3450910-F15 6/17/77 JOB ADDRESS 140 Talmadge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Elwell's Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Kravik 140 Talmadge Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 Reroof and gutters 9 CHANGE QF USE FROM TO STIPULATIONS Install ridged galvanized valleys.. New roof can be 2nd but not the 3rd roof. .4 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 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 $1.00 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- $12000 STRUCTION OR THE FORMANCE OF CONSTRUCTION. - - 77 PLAN CHECK FEE TOTAL FEE $13.00 SIGNATURE OF CO RACTOR OR AUTHORIZED AGENT (DATE) WHEN PRO ERLY VALID TED THIS IS YOUR PERMIT BLDG iNSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: k1-- N A/ -e T I -q lJ BUILDER: r L Ta Address: 1 /fi M q a E Address: No.. I YO Street: /-*r �j All � L' LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: � � Cv i?G-72$ Estimated Cost: $ a a a o To Be Completed: 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: (=, - / % - ) % SIGNATURE: Stipulations: /3,60 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 'NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 ,per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 56 SUBJECT City of Fridley 7NO. AT THE TOP OF THE TWINS BUILDING PERMIT RE C Ir 0. • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC NUMBER ---[REV DATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 �'"""�♦ ��� 612-571-3450 910-F15 6/24/96 JOB ADDRESS 140 Talmadge Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Elwell's Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Agnes Kravik 140 Talmadge Way 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Roof Design Partners LLC 4026 7 St NE, Columbia Heights MN 55421 789-6566 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20004817 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION fK7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 @ $2,475 $1.23 WITH WHET ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT P ESUME TO GIVE A ORITY TO VIOLATE OR CANCEL THE PROVISI0 S F ANY THER SAT OR LOCAL LAW REGULATING CON - $74.75 Fire SC $2.47 TR CTI O THE P FORM N OF CONSTRUCTION PLAN CHECK FEE TO L EE -' Li s C $ • 0 $83.45 SIGNAT RE OF CONTRACTOR OR AUTHO )ZED AGENT MATEiPR VALI A THIS IS Y UR PERMIT 40 mar ,G INS BATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) 56 NEW [ ] ADDN j ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddm Legal Description: Owner Name & AdaressTel. # Effective 3/1/96 Contract Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE #/'7 Tel. #�, 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 J e Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks L Type of Construction: Estimated Cost: U � Approx. Completion Date:- 2 - 07 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft. x $ _ $ DATE: APPLICANT: 5 Ly / a � ��, s Tel. # 7gg Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ -� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] BUILDING PERNM FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Engineering WATER AND SEWER Permit N°•: .763;572-3551 PERMIT APPLICATION Received By: 763-571-1287 fax CITY OF FRIDLEY 200 EFFECTIVE 6/9/09 APPLICTATION DATE:—/ 0 0 %7' YOUR E-MAIL ADDRESS: _ THIS APPLICANT IS: Ia OWNER CTOR JOB ADDRESS: Cc 1 NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: OWNER/ TENANT ADDRESS: 1140 `T• -a i F/Z / kl_ C.&e STATE�AtIP PHONE: CONTRACTOR NAME: Z:5-0&!5 SUBMIT A COPY OF YOUR YOUR STATE ADDRESS: R 1Q A e.*.'r ---r,� CITY L Pr—"STATE`8WPSS� LICENSE WITH PHONE ,�263 S3$-- 3,9-o3 CELL PHONE: Cot L- 4/2J APPLICATION STATE LIC # STATE BOND: EXP DATE: 1. Narrative/written description: � a 2. Please attach sketch showing curb line, utility line, building, etc. with distances. or PERMIT TYPE �� �� ®� x� ® ❑SEWER CONNECTION PERMIT $50 /127, ❑ WATER CONNECTION PERMIT $50 ❑ WATERLINE REPAIR $40 X SEWER LINE REPAIR $40 /{®' _- ❑ ADD STATE SURCHARGE $.50 e ❑ SAC CHARGE A $2000 = ®, JAI e 0 a W LIn 5E (0 RE6L5r ETHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING © P" OT -ECT jTRFZ7 I &WbW r' SPECIAL ASSESSMENTS — SEE FINANCE 4A)® (:�Vkje WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection repair ermit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the or • ances and codes of the City of Fridley. I understand this is not a permit but only an application for a per)X.ea work • of to start without a permit. t� SIGNATURE OF APPLICANT PRINT NAME: —IV—®6 %p (JAYL) DATE: I ®®®! APPROVED BY: DATE: It COPY GIVEN TO: ❑ TTTTt,ITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287 00, OUS/E�'�hIEATING TEST RECORD ADDRESS ld APT. FLOOR CITY UBURB OCCUPANT I jr OWNER HEAT LOSS D T TG. INST. SOLD BY '�® INSTALLED BY Electrical Work By Gas Line By TYPE OF,HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER S DESIGN MAKE MAKE OF BURNER_ Model Jj Model Serial Max. BTU Rating — INPUT MAKE OF FURNACE Model CONVERSION Pressure Percent CO2 2 9 ® Date Tested — Input CFH O'" Percent 02 t� J Company Testing Stock Temp. Per CO �0 Name of Tester _ Form 235 ONTROLS $, THERMQS Heat Plug , Vent Size -3 Valve KIND OF LINER SIZE_J NONE Limit © Draft Hood Regulator —A4 Limit Setting Filters Size Number Fan Setting Chimney Location Inside �/ �Jutside , Pilot Type Chimney Construction ��✓ Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing ®e Draft Test Tag L.W. Cut Off Door Pressure —)righting )righting Inst. Pressure Percent CO2 2 9 ® Date Tested — Input CFH O'" Percent 02 t� J Company Testing Stock Temp. Per CO �0 Name of Tester _ Form 235