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PRE 2010 DOCSaN Y. it BUILDING PERMIT 'S\No Village of Fridley, Minn. to.. ............................. Owner 71. Address ....... ............................ 2218 Builder .......................... Address......................................... LOCATION ATION OF BUILDING No. .... Street -,* ..... Part of Lot ..................... -ow A� Lot ......... Block ...... ........ Addition or Sub -Division .......................... Comer Lot ...... ..... Inside Lot ............ Setback Sideyard '1...... To be Used as: " 0 Type of DESCRIPTION OF BUILDING Front Depth .,444... Height AR Sq. Ft......... Cu. Ft. ........ Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft... .. . Est. Cost ...... To be Completed 7 In consideratio of the issuance to me of apermit to construct the building described above, I agree to do the proposed work yin accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. .................... .............. 4.7 ..... ........ In consideratim L of the Payment of a fee off, $., . /i/,.!n—permit is hereby granted to .. e_19114-,0414. - - to construct the building or addition as described above. This permit •is granted upon the express conditic n 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 respLacts to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits, and this permit, may be revoked at any time upon violation_qf any, of the provisions of said ordinances. LAuilding Inspector NOTICE: This permit does not cover the, construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be. sure to see the Building Inspector for separate permits for these items. l Application for Power Plants and Heating, 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 Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 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) ....................... 500 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 ........... x$ 500 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL 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 hereir. 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. Owner ® twig 'J—oi Kind of Building Used as i4®� —__ To be completed about Estimated Cost, $_ -- '/2'0'y -- % Old New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No. 19 6,,Z Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuer BURNER — Trade Nam Size No -6e— ��� Capacity M%rz9!!0 661# . (REMARKS -OVER) c � � SUBJECT PER 0. City of Fridley 00680 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � COMMUNITY DEVELOPMENT DIV.���� PROTECTIVE INSPECTION r SEC. 1 � ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 I 7-8-75 JOB ADDRESS 6421 TAYLOR ST. N.E., FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] ] MOORE LAKE HIGHLANDS, 2ND ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE WARREN HESSELROTH 6421 TAYLOR ST. N.E. FRIDLEY MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP ` PHONE LICENSE NO. RICHARD HASTINGS CO. 6331 RIVER'VIEW TERRACE N. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XXI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RESIDE & TRIM 9 CHANGE QF USE FROM TO STIPULATIONS 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 AR 1 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 gxmm $1, 900 .95 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 P FORM NCE QF CONSTRUCTION. $11.00 PLAN CHECK FEE TOTALFEE $11.95 NATURE OF CONT ACTOR OR KTHORIrENT (DATE)"WHEN PROP1ERLY VALIDATED THIS IS YOUR PERMIT w✓� l MMY 8, 975 BLDG. INSP T DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) c � � •APPLICATION FOR RESI'DENTIAL., ALTERATION, OR ADDITION•BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAriE:���4J z BUILDER:t ADDRESS • 7 < ADDRESS: STREET: LOT:� BLOCK: / ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach . to this form Tsao Certificates if Survey .of' Lot and .proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: • Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type1of Construction. j r)vvc- Estimated Cost. $ J � 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. --...... DATE: �" ZZ SIGNATURE: ! 2 (See Reverse Side For Additiondl Information.)' d //, BU1LL)IN i r-LI(Mi 1 rL'L' 0w11:1uui.1:! SECTION 2. The Inspector of Buildings shall, bei•.ore 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet; or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. 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 are - 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 averager. '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 $5.00. VERIFICATION OF -FOUNDATION n '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 Certified 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.. HOU E TING TEST RECORD ADDRESS APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. NST. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA PA -1—,"0' HW` STEAM SPACE HTR. GAS DESIGN MAKE 71'MAKE OF BURNER _ Model Model Serial r� Max. BTU Rating — INPUT —,Z y MAKE OF FURNACE Model. UNIT HTR. OTHER CONVERSION CONTROLS P/ THERMOSTAT 14-6Plug Vent Size Valve KIND OF LINER SIZE NONE Limit Draft Hood 13 Regulator Limit Settings+�®� Filters Size Number Fan Setting �� LI Chimney Location Inside Outside Pilot Type ` _ — Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tag L� L.W. Cut Off Door Pressure Lighting Inst. Pressure �s-S -------'-PercentCO2,Date Tested Input CFH Percent 02 Company Testing Staek Temp. Percent co Name of Tester Form 235 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $ AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE' $ $10.00 $ 10.00 $ 16 GRAVITY 1ti:iR>1 AIR: P.ATL' TOTAL Job P.ddress Ce d r^urnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Re --airs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add.. $500.00 Tel. 11571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein $1 - specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct Work to 100,000 BTL' each add. 50,000 BTU Y•0 and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. Replacement of Fu=nate RapairS & Alterations -up to $500.00 7.00 $ 1927 Repairs & Alterations each ado. $500.00 4.00 $ Fridley, Minn. ss s --1 6 e n STEX,1 OR HOT 1, .XTER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,C00 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTL' OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) $1.2.00 $ 4.00. $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS - State Surcharge: � ROUGH INSP. Date FINAL INSP. 9 -/ q - 7 / Date APPROVAL FOR PER!.! --,T y TOTAL FEE REINSPECTION FEE (.$10.00) MINII:UM FEE FOR ANY HEATING PERMIT IS $7.50 OWNER KIND OF BUILDING v USED AS TO BE COMPLETED ABOUT ESTIMATED COST 4wc---" 6. LD - BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER ?EATING or POWEP PLANTS, Steam, Hot Water Warm Ai No. O Trade Name 9 6 Size: No. a- eO Capacity So. Ft. EDP . BTU HP Total Connected Load Kind of Fuel B BURNER - Trade Name s _ Size No. "4e 1/`� !Q - Capacity Sq. Ft. EDR,/452A TU a� HP Compan RAY N. WELTER HEATING CO. Signed By A637 Chicago Ave. Tei. No. Minneapolis, Minnesota 55497 4ey�e�0�1 .el HOU E TING TEST ADDRESS APT. — OCCUPANT OWNER. HEAT LOSS DATE HTG. NST. RECORD _FLOOR CITY SUBURB SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA'' FA A'00'HW STEAM SPACE HTR. GAS DESIGN MAKEMAKE OF BURNER Model _7 Model Serial Max. BTU Rating INPUTT ® MAKE OF FURNACE — Model CONTROLS !'j UNIT HTR. OTHER CONVERSION THERMOSTAT Heat Plug Vent Size %�e Valve KIND OF LINER SIZE NONE Limit Draft Hood Regularor Limit Setting T�_®� Filters Size Number Fan Setting �e Chimney Location Inside 0 side Pilot Type Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tag f� L.W. Cut Off Door 'Pressure Lighting Inst. ei Pressure _S F Percent CO. Date Tested Input CFHPercent 02= Company Testing Staek Temp. Percent Name of Tester Form 235 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY N_\R.11 AIR: Furnace Shell & Duct Work ceniaca e of Furnace Repairs & Alterations -up to $500.00 Renalrs & Alterations each add. $500.00 MECHANICAL WARN AIR: Furnace Shell & Duct Work to 100,000 BTL' each add. 50,000 BTU R eolacem.e nt of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STE.a:,f OR HOT NATiR SYSTEM: Boiler & Lines up to 100,000 BTU each add-: 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BUP..\ER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 ETU to 199,999 BTU (over 199,999 BTU see Fee Schedule) RATE TOTAL $12.00 $ 7.00 $ 7.00 $ 4.00 $ $10.00 $ 10.00 $ 7.00 s_ t �3 7.00 $ 4.00 $ $12.00 $ 4.00. $ 7.00 $ 6.00 $10.00 $ 10.00 $ $10.00 GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS - � State surcharge I ROUGH INSP. FINAL INSP. Date APPROVAL FOR PERMIT TOTAL FEE REINSPECTION FEE (.$10. UO) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 Job Department of Buildings City of Fridley Tel. '1571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST (9—.BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER ??EATING or POWE$ PLANTS, Steam, Hot Water Warm Ai No. Trade Name /' C � Size No. 4zlelle:W Capacity Sq. Ft. ED -y BTU HP Total Connected Load Kind of Fuel BURNER - Trade Namc- L=_!� —. Size No.'1 ?% 4y') Capacity Sq. Ft. EDR/_ 5V'TU IiP Conpany RAY K WELTER HEATING CO. Signed By 4637 Chicago Ave. Tel. No.�`� Minneapolis, Minnesota 55407 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE N NO. RATE >4 m x r0 $ ca x $2.00 a New Fixture, Old Opening Water $2.00 m N x $5.00 $ N C I N Q 100,000 BTU to 199,000 BTU +-3 - ri Q W � x Heater v 41 r -I $5.00 U] Electric Water Heater H bm $ GAS FITTING FEES: r: 0 N pa q', 1st 3 fixtures r }� $ .,q S4 0 0 $ G -H N $10.00 11 z N 3 S4 O .0 Ei 0 4 First $100.00 U $5.00 N each add. $100.00 or fraction 74 O N G •rf .4' -P N # N •ri 9 O O ly N 41 UI N N W 4 U � M P2 t 3 Q w° m w U w a 3 0 X (D O as lec is t 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU` x $5.00 $ !� S 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater X $5.00 $ GAS FITTING FEES: 1st 3 fixtures r $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address � ! � �� � � �' /14 <Xr Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work her specified agreeing to do all work in strict accordance with the City Co and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and co Fridley, Mn. 19 "7 OWNER (✓�1�� L�Oy� T! s�" �] o�Ca`7� KIND OF BUILDING �ri ®�'r°,-e USED AS ��� e� 1 F TO BE COMPLETED ABOUT ESTIMATED COST 4�9' OLD,71 NEW BUILDI14G PERMIT NO. PERMIT NO. 0�/ <7 Company Signed By� Tel. No. J-3 7 -J Z) _ ROUGH INSP. Date FINAL INSP. a -.S-- / 7 Date APPROVAL FOR PERMIT )ta MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 0 AYABLE 19X7 Pew Plat iv.sion Combination Add as Omitted LUate of Transfer �� Special Assessment Funds Paperwork Proofed►' - Contract for De 'h Warranty Deed Quit Claim De Request Other, specify --- I I pecify L! I I I I I I I I I I I I I I I I 1 I L 1 1 1 1 1 1 1 1 1 1 I I I I I 1 t I I Plat Name: 1 I 1 1 1 1 1 1 1 1 fill -III I 1 1 1 1 1 1 1 1 1 t The following Parcels are now out: PIN (s} L3 -a I oz 7 t I l I W W I I I 10QV I I I I I I I I I I L I I I I I I I I 1 1 1 I_ I I— I I I I I I I I I I i l I I IBJ I_L I 1 1 1 1 1 The new Parcels are: I 1? 15 3 -Lc -)j ^ -4 3z Do_q4 I I I 1 I I V I I I 11 1 I I I I I I I I I I I I I i I I I I I I I I 1 1 1 1 W W W I I I I I 1 1 1 1 I I FC to Assessor , , , ,, p,� FC from Assessor Date Completed 010O.v Date to Auditor To Assessor 7 � g D Values Entered 1 1 1 1 Deleted by Date Added by Date 1 11 1 I ! I I 1 I I I C 1 0 I r l I I I I I 1 1 E �1 f 'IN..; 93J i/._ / 7 A 00/7/L TITAX DESCRIPTION PAY 19 Paperwork Proofed Pag 1 Division, Combi tion ❑ *Jew Description Proofed ACRES t I I I I I I B ATE 6el CRT DATE I 11W 7 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I 9 1 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I 13 15 I I I I I I I I I I I I I I I I I I I I I I I I I I I I 17 1 1 1 1 1 1 1 1 I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19 1 1 1 1 1 1 1 1( 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 I I 1 1 1 I I 1 I t I I I I I i I LI I I j I 1 1 I I I '2 3 1 1 1 1 1 I I I I I I I I 111 1 1 1 1 1 1 I I _I I I I 2 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ,1 I 1 1 1 1 1 1 1 1 I I I 2 7 1 1 1 11 1 1 1 1 1 1 1 1� 11 I I I I I I I I 1 1 1 1 1 29 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 I I I I I l '131 I I I I I I 1 1 1 1 1 I� I I I I I I 1 1 1 1 1 1 1 1 1 133 t 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1351 Ll 1 1 1 1 1 1 I I I I 11 1 1 1 1 1 1 1 I I 1 1 1 I X37 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 -tq I' I I I I I I I I I I I 1 1 I I I I 1 I I 1 I I I I I I X11 ����C iIy 4 6 101 I I I l I I I I I I I I I 11 1 I I I I I 1 1 1 1 121®1 11 L-1 I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14 1 I I I I I I I I I 1 161 I I I t I I I I I I I I I I I I I 1 l I I I I I I I I 1,81 1 1 1 1 1 I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 201 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22 1 241 26 1 1 I i L L 11 2 8 1 1 1 1 I J 301 1 1 1 L 1 321 I l l l l l t l l l l l l l l l l l l l l l l l l l l 341 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 361 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 381 1 1 1 1 1 1 1 1 1 11 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 6 4 0 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 IJ R13 30 24 32 0007 LOC 06421 TAYLOR NE ----m9 I L ING ADDRESS ------- SHIMMEL GEORGE K j & B J 24iTnSCHILDS E� EARN 7TH PLACE 0200 07 PAUL. MN 5E101 ----LEIAL "ALA54111 067C) ANK 1043249- ojD 4WD NO 03 CT74 3j 7RIDLEY 7�E = aO FT OF LOT in Ail APE 11 -EX TnEREFROM �W Pf YKEREDF 7AKEN POE ET ANY 105-SUBi TO AN EA12 FIR RD PURP OVER THE WL*-�-' 17 FT THEREDF-& ALSO-SUBj L N T I N U'E NOT ALLOWED, PAR CHAINS PRESENT CTY 20 TDS 240142 6 KEY 461725 PCA 2105 PCs 3C YR 00 PAREN7 MAP 54161 AREY FRO! jV 06 MT3 QuQ-.- SPI SP2 BF07 UTI UTZ Eg A Y EYD os? CONS7 ED TH AR 7%E NKT 154, REA ZLAEE EF10-1, D ASP DESCRIPTIEN TAX vq CWRAEN7 EXEKFT ASSEEGED spo huE C.-"' AREA 1/2 TUC ZCC T2 EXEMF FE iAwE if/E7 PRICE 7900 ORZ A F LAE7 A171VITY 06/13/S8 !,' IL -1 -T -i 111 R 13 00 24 32 005E PRICE NOT ALLOWED, PAR CHAINS PRESENT LOC 06421 TAYLOR NE CT`{ 20 TDS 24014B 6 KEY 50815''') .1;�TLI."•aL� ��:_F.Ey,-. — ADDRESS — F'C� _' 1 5 s Fes— 3' v , i_ 0 PARENT c'! '�`F' �' -r; i E`' MEL i=Etir+;GE K JR _. S J MAP 5 873 AREA FRO I JV 06 MT3 0015 D HS HiLD SPI =.2 sp it EAST 7-. ice'_ 200 LTT ;, UT ' EQ FT 1; i-ALiL MN 55101 f'_S•q:'r_'� 1957 i_VR= 1560 CBS 1.-.1EINIST . C000 LAND 9000 imp 47900 OTHER 30:� ---- LEGAL DESCRIPTION—- Ti-:Ui- n0 17700 •.} RE i' CLASSIFIED .._...t.:i i t^ {i r•T 1,'1' '_ 14 CURRENT r.T ...i ..LE EXEMPT L_... -ORE "pKE V41SHL.0103 2% AA E 54 to 1 117' EXE"OTIONS HET ., nPLE 09/E7 ,_:-i8s ACTIVITY i2/04/E7 PCR hd _, s'a TYP HST POS i-^ R13 30 24 32 0074 LOC ----MAILING ADDRESS------- SHIMMEL GEORGE K JR & B J %ROTHSCHILDS 85 EAST 7TH PLACE #200 ST PAUL MN 55101 0000 ----LEBAL DESCRIPTION ---- #PK 461725 508150 THE S 30 FT OF LOT 13 AUD SUB NO 8B TOG/W N 40 FT OF LOT 1 ELK 1 MOORE LAKE HIGHLANDS 2ND ADD: EX RDS: SUBJ TO EASE OF REC EXEMPTIONS SALE 00/00 PRICE LAST ACTIVITY 06/24/88 CTY 20 TDS 24014B KEY 1043249 PCA *?to P/t5' PCS YR 88 PARENT 461725 MAP 54161 AREA JV 06 MTG 0000 SPI SP2 SP3 UTI UT2 SQ FT AYE: EYB OBS CONST LAND Alsoo IMP MAO OTHER TRUE MKT 4�(acm REA CLASSIFIED ASD LND / ASD IMP ASD OTH DESCRIPTION TAX YR CURRENT EXEMPT ASSESSED MIDSPLIT SML BUS CR AREA WIDE 1/2 3CC 3CC T2 ORB AFD PCR 1\1 gwo TAXABLE 2 y� 10.00 SEC /dI 7i 3033 s ��•Dlp s3� , (I-)ri 0 : o ri N N N ° N% N %a p, N N I, 2 4I i 6,32 '•t�)) I b• /ntz✓Koen/o w }^� LIS) p : 00 /G 97• 37? 9Z a 75 x75 I, Rep 1 V 1 p /<p 2 3• B� 243 F2 r 1-4 Ez 4 AI,ja' (� " 1. 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City of Fridley 29732 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV.�Cs r PROTECTIVE INSPECTION SEC 1 e � REYDATE PAGE Of AVPROYEO BY ---,.j CITY HALL FRIDLEY 55432 � ---- A',. 612-571-3450 nq�10-Fl5 6/21/99 / !OB ADDRESS 6421 Taylor Street NE 1 LEGAL LOT NO.S . 701 BLOCK TRACT OR ADDITION SEE ATTACHED oescR. of Lot 1 _ SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Moon Chong 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 X® REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 $3000 1,50 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 TOTALFEE $87.75 SIGNATURE OF CONTRACT A OR AUTHORIZED AGENT (DATE. WHEN PROPERLY LIDA ED THIS IS YOUR PERMIT io�p SSG TUAE OFakABUILOER- iDATE� BLD NSP GATE t L.-Ol - . . - NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1�67 Legal Description: Owner Name & Address: / o� ��o�g �l y�� ` /bP Tel. htg1a�3,9S.3a 6 Contractor: MN LICENSE # W/lA Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Tel. # LIVING AREA: Length Width Height ' Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: r:2 Estimated Cost: $ 4&0&' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: �' APPLICANT: Tel. #6/-)- 36 906 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 $ F7 - STIPULATIONS: BUILDING PERMIT 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or .fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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.