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PRE 2010 DOCS-S7 -333d City ®f Fridley, Mimm N. 10823 BUILDING PERMIT _- Date: September 9, IM 1970 Owner: Rmith & Anderaon Builder Same Address 912 -40th Avenue N.H. Address Same LOCATION OF BUILDING No. 5781 Street Washington Avenue Part of Lot Lot __1.12__ Block 1 Addition or Sub -Division Adams Street Addition Corner Lot — Inside Lot — Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling_ Front 44' Depth _ 26 r Height 2 0 Sq. Ft. 114.4.' Cu. Ft _ 22, $ $ 0 raxge Front _201 Depth _ 2_ Height _10' Sq. Ft —S2Q' Cu. Ft ___ 520.0' Type of Construction FXame Est Cost—_ S�OQQ..QQ.._ To be Completed ....._..nPr 5,1970 Provide Verification Survey and Hardsurfac ed Driveway SEWER LOCATION: 151' S. of Manhole at Washington St. & 58th Street N.E.' WATER LOCATION: 141' S. of Manhole at Washington St. & 58th Street 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 abovese rth and in compliance with a'il provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 52.00 , permit is hereby granted to Smith & Anderson to construct the building or addition as described above. This permit is granted upon the expr4dEd dition that the person to whomitanand hisdone in, upon said building, oranyBthshFridley, regarding location, construction,alteration,within thts and this permit may be revoked at any time upon violation of aay of the provisions of said ordinances. Building Inspector . BAGSTAD NOTICE: 'This Paraft don not corer the construction, instattation for widne, phunbing, gas heating, sewer or water. Be are to as the Building inspector for separate permhs for these home. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ::ice, &yXG � ILDER : s' �, r� ��' � s � � ✓ ` � ADDRESS:_ % �� Gf �/� ADDRESS: NO :. ti" STREET : fir/ LOT: & %--Z BLOCK: ADDITION: CORNER LOT: INSIDE LOT:_SETBACK: // SIDEYARD: �il_ 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 �C, Front • Depth:—,;2 Height • 2- O 0 Square Feet: Cubic Feet: - ,z, ® a ® Front: O Depth; �7 l Height: Square Feet; Cubic Feet: < ' �j o �, Type of Construction:s Estimated Cost: o� T To Be Completed:� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 : (See Reverse Side For Additional Information.) j BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of Iany building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building orlstructure, 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 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 y permit as set forth in Section 2 be less than $5.00. 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 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 Odcupancy,has been issued. Application for Power Plants and Heating, Cooling, Ventilation, tefrigeration 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—ta 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) ....................... 6.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TO 1st 3 Fixtures ...................... x$ 200 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL I - 9 —6- 7 Z- $ See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone 560-34$0 i (� ✓.�/ALL � ,Ps 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, b Owner Kind of Buildi • - Used as i, To be completed about ' ' Estimated Cost, $ Old ew. uilding Permit No. Permit No. 1411dv 19,zy DESCRIPTION OF WORK HEATING or POnR PLANTS—Steam, Hot Water No Trade Name ��a ��- Size No Capacity. Sq. Ft. E.D.R./ ) BTU H.P. Total Connected Load 11 Kind of Fuel BURNER — Trade Name al -':AJ - e Size No Capacity Sq. Ft. E.D.R-l�K BTU H.F. (REMAR OVER) 48 SeY N® WELTER H EATS � � ign_ o 4637 CHICAGO AVk. By ITT Business Phone No- M =7 PERMIT for Power elants and Heating, Cool. ing, ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants &?JOA.,m j a x�A) to be installed -altered -repaired Make 6o .,Q .Uh eY A 2 EL x1 i , Size 1.41- Oil fired ; Coal fired ; Gas fired -Z-; Gas Authorization No. Remarks _4 -! JA�� 4A.eb Wa 4,& - Q a a, `, qt t, /LJ Approved by. Final Inspection 19_ Inspector '<3ST? Permit No 4818 Fee $ 19 00 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. '.70, 19.50 Owner _ ✓Jai� Location ."24/ Kind of Building -„_�AAz"Ip a How Occupied Work to be Commenced—, 19— To be Completed /"U,,l 19576 Estimated Cost, 0 New, uilding Permit No. Permission is hereby granted to to install--erect-use the material and devices described in the above statement. This permit is granted upon t express condition that the person to10m� ranted, 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 ,fet forth in the approved application for this permit on file in the office of the Inspector of Buildings. ` CeV ,A4�96=) � J , Inspector of Buildings 42 2M 11-67 V N? 5204 ,�--3-7a . Permit N.B. When work covered by this permit is ready, the biu Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 860-3450 giving number of this permit., Fee a� SV DESCRIPTION OF WORK Number, Sind and Location of Fixtures F m N m City of Fridley 6 C+ �-e.h� l ,19� Stories f e a j 3 U z 7 = to a M m F z 6 m Y z 0 m Y a 3 F Z z K O O u. ; o x N o Z o `a J K LL O U z 1- 01 a 4 U W z n; a 6 0 K -1 V y X E LL J m a a G. O a to z a s 0 K WATER HTR. GAS ELEC. Basement ist 2nd 3rd 4th Connected Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hereto attachq6, upon the 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 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 Roughing in Inspection Inspector. Final Inspection Date Inspector. az 1M—&69 -V 1111 111 i Location Kind of Used as To be Completedd�! �° d �� , 19JD Estimated Cost $ 4 eeid,®b Old -e Building Permit No. Inspector of Buildings. City of Fridley Applicalim for Dept. of Bldgs. Phone 560.3430 DESCRIPTION OF WORK Number. Kind and Location of Fixtures ,cis M -IMMM -1 -as v 91 SEEN a, "EMIN EMMONS r�ii ii�i�■■��i�ri� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES:TE TO AL Number Fixtures ................ x $2.00 go A $ 1/4 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 $ :. 00 New Ground Run Old Bldg. ........ x $3.25 $ Eleatsic Water Heater .............. : $2.00 $ GAR FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........... • .... x $2.00 $----W.-0-0 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU........,..,.... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .............................................. TOTAL FEE City of Fridley: 11 The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City fiance and ruling of the Department of Buildings. and hereby declares that all the tact and representations stated in this application are true and correct Kind of Used as To be completed aboutff ::;,— , - / 911�70 Estimated Cost, $ �-gLa �® Old Building Permit No. Permit No. 5a0 Signed. B Y, - Business Phone No ROUGH City Of Ptridloy Appl;eion for Plarn-S-l1"9 grad NOW 9 s� Rept. of Bldp. Phone. 560.3450 DESCRIPTION OF VIOilr. L.ocatio� Number: Kind end L.ocrf$on of Futures . 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 OrdLranee 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. Ming %2 • 19?1!� Owner Kind of Building�- Used as - =- To be completed about ---------- PARTIAL RATE SCHEDULE Estimated Cost, s Old -•New. Building Permit No. Permit No. a LUM. BING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .. • . • • • . • ........ .r.. _._._._ x $2.00. S,.,. �.r Future Fixture Opening ........... x $1.50 S _. By Business P'n�ne No— New - Fixture Old .Opening.....:.... x $1.50 _._.�_ .---�-�•-� ' Catch llasin........ ...•.••.e.4• x$3.25 Water Heater !Up to 99,000 BTU) • • • • x $3.00 $ ROUt3Fi' New Ground Run Old Bldg....:.... x ;13.25 $.------ Electric {dater Heatar. • . • . • .. • . • 0.0 • x .,2.00FIPdRL . `� � �° - sdS FITTING FEES: NO. RATE TOTAL Ist3 Fixtures .........•••••••..• x $2.00 , Additional Fixtures ..........:..... x $ .75 $ Gas Ranze to 199.000 BTU ............. x $5.00 G RE"KI 1S & ALTERATIONS--P.afer to Code • 50 State surcharge .Mxrirtion ...:............:........ ,...............$ TOTAL FEE $ ° Futu:® Ccanoc:i.:a Ci�anin•Fs e Maw Fixture. Old Openings Savor 0 Ccr:.pool 0 Im mom Futu:® Ccanoc:i.:a Ci�anin•Fs e Maw Fixture. Old Openings Savor 0 Ccr:.pool 0 SUBJECT City ®f Fridley =�O AT THE TOP OF THE TWINS BUILDING PERMIT r O COMMUNITY DEVELOPMENT DIV. I L e a PROTECTIVE INSPECTION SEC. r i . I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/21/98 Street NE JOB ADDRESS 5781 Washin ton *mmx 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel & Rebecca Whitney- 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 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S 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 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2085 $1.04 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- $74.75 Fire SC $2.08 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL F 9 - ___1) / $77 7 SIG URE:0 TRAC OR AIT ORI .E AGEIq� IDATEI OPE LIDAT I$ IS R PERMIT aCO 21- q� Z:rP , A�000� BLD INSP f)ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW ' ' j ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 VJo BUILDING PERMIT APPLICATION r�A � 0 XCst ,,; onstructionAddress: % 0 ! 70'.- .5 % Legal Description: Owner Name & Address: 06,12 ; @ %Pee a Tel. # G Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. x OTHER: ec P6® Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ O� Construction Type: $ Agreement Necessary [ ] Not Necessary [ ] Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: i'A" APPLICANT: Tel. #�� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ -� .001 of Permit Valuation (1/10th%) State Surcharge $ / D $.50/$1,000 Valuation SAC Charge $ $1000 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 $19-62, STIPULATIONS: „, • r 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 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. Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING Permit No.ln9t� RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY EFFECTIVE 7-1-2010 ��}} YOUR E-MAIL ADDRESS G -a'S/ fl49ton S?�- /oil ,WQWNER OCONTRACTOR v STATE LICENSE STATE BOND # PHONE 0 EXP DATE EXP DATE CITY STATE ZIP FAX SINGLE FAMILY O TWO FAMILY O TOWNHOUSE I'LL W O REPLACEMENT DETAILED DESCRIPTION OF WORK t!, /(�% fz g ��i •C47 e, 1�9 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) _ SWIMMING POOL WATER SOFTNER ($35) _ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15) —DISHWASHER _ LAUNDRY TRAY _ HEATER ($35) FOR IRRIGATION _WATER WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 applica ' for a peResl"'AR� d w 1 is not to start without a permit on site; that the work will be in accordance with the approved plan in the of all, eview and appro of pl �� ,f SIGNATURE OF APPLICANT PRINT NAME /Ire Ti7��ATE Z -16 APPROVAL INSPECTORS SIGNATURE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977