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PRE 2010 DOCSSUBJECT PERMIT NO City of Fridley ® 3141 AT THE TOP OF THE TWINS I E ®I N I D[ R M I T PERMIT r Dv I v BUILDING T f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J \ 612-550-3450 910-F15 8-13-75 JOB ADDRESS 5901 WEST MOORE LAKE DRIVE, FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 1 1 DONNAY'S LAKEVIEW MANOR SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE EDWARD HOLLAND 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. LLOYDS HOME IMPROVEMENT 4911 - 4TH ST. N.E. MINNEAPOLI5 MINN. 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 XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof 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. SHINGLES 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 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 $560.00 450 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHA GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTAL FEE � -1 — �''�► 7�0 5.50 SIGNATUREO ONT AC OR ORAUTH Z ADEN IOATEI WHEN PROPER VA (DATE THIS IS YOUR PERMIT BLDG I 8-13-75 If DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) f 1 •APPLICATION FOR RESI'DENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S �!&16:a2,B-UILDER' > ADDRESS: ADDRESS: w— NO:. STREET: t! LOT: BLOCK:ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD: foam Ta .. o Certificates -if Survey -of -Lot of Lot and.proposed Applicant attach to this building location drawn on these Certificates. ' To Be Used As: DESCRIPTION OF BUILDING Front • Depth Square Feet: Cubic.Feet: Height: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:_ $ 4 014z. --le/ 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: % SIGNATURE (See Reverse Side For Additional Information.)' CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES / 1 JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 00 that all the facts and representations stated in this application are true and correct. -? ,1991 Gas Piping (Needed with new furnace) $10.00 $ OWNER k-1) � Gas Range $ 10.00 $ BUILDING USED AS �� ,,q Gas Dryer $10.00 $ "Air Conditioning - All Sizes $ 10.00 TO IV All Others/Repairs & Alteratiolfs (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ESTIMATED COST PERMIT NO./ O %(OL DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (S Trade Name 2co 4�J BTU HP Bam) (Hot Water) arm Ai Size No. _ EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By �6/022�ZaII` AIS ® Tel No. M - 6-�OC Approved By Rough -In Date Final Date 7-167 F/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date ^ SUBJECT PEWIT NO. _ City of Fridley 2 �. 5 0 AT THE TOP OF THE TWINS PERMIT BUILDING r RE NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CCl6 / CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/29/92 JOB ADDRESS 5891 West Moore Lake Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Domay"s Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE David/Maryann Pohl .5891 West Moore Lake Dr NE 571-1462 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Fence Mfg 525 E Villaume Ave, So St Paul 451-2221 4739 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 JO ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 1V Three Season Porch.Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNING Before diggin¢ u!f for SEPARATE PERMITS RE eq utility�.to�:aii^�s � WRING, H���"eNG� ®R PLUMBING //��aap��+ ® SIGNS. Q54'f 1�4; REQUIRES _ .111 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED SHUR $5 169.92 $2, 58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $93.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi EN OP LY VAL kTfig THIS IS YOUR PERMIT LDL -INSP MATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: IS 941 % %A - MOMIL C^AC f Legal Description: .,S" - 1C t "C.�w.s�,.r ,[ 3 �►kb•VlI�.W +AD VO[ Owner Name & Address: "tww t b it "ICVaNN L. Tel. # S`t►- Act - Contractor: IJ %U%M*9r t=Co X t. %+1V;C► MN LICENSE # 40641%'1 41%'1 Address: !q7z S' %e Vt L.L Avort�, �►/. "�.'��• VWt. Tel. # 4X% -Z LI Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �• %0^40* t Oft= y 0 1 a LIVING AREA: Length lu 4D Width 14 0. Height Sq. Ft. Zz 4 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: '3- �•�N VOU-64 Approx. Completion Date: Nagar 3O Driveway Curb Cut Width Needed: Ft. + b Ft = ' iAVW^4 i4 sa Side Yard Setbacks 4641T!°' Estimated Cost: $ `� (Cost on Back) Ft x $ _ $ DATE: APPLICANT: 'ngN !�, a G+►at �w K. Tel. # 4X%'-ZZ%l TOTAL STIPULATIONS: Ed CITY USE ONLY Permit Fee $ 5/00' Fee Schedule on Reverse Side Fire Surcharge $ 001 of Permit Valuation (1 / 10th %) State Surcharge $ -2• 5 $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ 5-,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL STIPULATIONS: Ed OCT -28-1992 12:18 FROM TO 5711287 P.01 'v �✓, �4 �..Y.K:.`'d ;t,�'•r,'�•r, •'i. ��< .r V v is .�.: �.. .�.. F. ./�. .< •i ' i. '.�C .� _rte j��'r,'+��, f�/*�f �� 1�.'1^Y,�D� M�`F/`� �}�Y,�C��C.• •' `\ \ � {" FAX # (612) 451.693.9 FACSIMILE TRANSMISSION COVER SHELET DATE d ?OA TIME i� r TOTAL NUMBER OF PAGES �. ATTENTION: 9titA-tjlJ6 1NSPAf r0 , FROM: 161c Y /-j MASSAGE =..�►. t ? 4�'Cr► /ri, � rj u T t 0/i 1-a `f M-14-" - cr �, !(d Tea a 12:19 FROM TO 5711287 H'me � � � - ` TOTAL P.02 0 SUBJECT City of Fridley 26408 AT THE TOP OF THE TWINS P, BUILDING PERMIT r ZRf_4&p_T_�. : v ____'_ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �/ �/ j 314" / REV DATE 6/30/98 PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432NUMBER �""� 612-571-3450 910-F15 JOB ADDRESS 5901 West Moore Lake Drive I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Holland, 5901 West Moore Lake Drive, Fridley 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brad Holz, 28981 River Ridge Rd, Isanti 444-9987 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 Reroof (tear -off) 9 CHANGE OF USE FROM TO STIPULATIONS , b' Underlayment Must meet State Building Code. TYPE OF NST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 %. SURTA) AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ITATI , 40 .67 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- $45.75 Fire SC $1.33 STRUCTION OR THE PERFORMANCE OF CO TRUCTION. LAN CHECK FEE TOTA �( A*, -e o License $5.00/f$52.75 TU c CO C R AUTHORIZED AGENT IDATEt EN OPER 'SLD tNSP Y LIDAT IS IS Y UR PERM �.��i - DATE S,GNATUREOFOWNER iIFOWNER BUILDER) tDATEt 0 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [jC] SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� b ConstructionAddress: , 10l (fL%5�- Moore ('K' top. Legal Description: Owner Name & Address: � `� Ho (61nd — Tel. # Contractor: &\c.c� 40 C 2 MN LICENSE # Address: l l�,`vQr /�d`� ec�,�<���P 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. OTHER: c Construction Type: 900 < rt CA, 61 Estimated Cost: `I • i (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ s' -7< $ /.33 $ . (a 7 Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: < ®o 1 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) �U S "�AJ C $.50/$1,000 Valuation $1000 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 [ ] Jar ", 4 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR New Fixtures $ 7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening. New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application a true a correct. -I# � �,t Catch Basin $ 7.00 0 X Rain Water Leader _ $ 7.00 11,114, 0® Sump/Receiving Tank $ 7.00 % Water Treating Appliance $10.00 Owner✓ / �d Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00 J Gas Dryer** $16.00 Estimated Cost PERMIT NO. C �� Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY McGuire & Sons Reinspection Fee $42.00/Hr SIGNED BY 605 -12th Ave So. _ HAD_, kind, QNI(55343 ��� a31 q47�0 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.596 of Value of Fixture or Appliance �Approved By z6 Rough -In Date Final Date j W—CQ State Surcharge $ .50 MINIMUM FEE FOIII ANY PLUMBING GAS PERMIT IS $20.00 TOTALFEE $r•6e'N-) PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. Wash Dank Floor Catctr< Auto. Gas' Gas M�sc Water Heater Stories Closer: Urinal Tub Shower Sink Tray Fount ;` Drain Basin ..: Washer Appl :; Range Fixt :. Gas Elec Basement Floor 1 Floor 2 Floor 3 :.. Floor 4 FOTEi� PLUMBING FIXTURE RATES: NO. RATE TOT JOB ADDRESS. ��� � - ,✓�) 6� �iL. / / r��✓°� New Fixtures $ 7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening. New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application a true a correct. -I# � �,t Catch Basin $ 7.00 0 X Rain Water Leader _ $ 7.00 11,114, 0® Sump/Receiving Tank $ 7.00 % Water Treating Appliance $10.00 Owner✓ / �d Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00 J Gas Dryer** $16.00 Estimated Cost PERMIT NO. C �� Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY McGuire & Sons Reinspection Fee $42.00/Hr SIGNED BY 605 -12th Ave So. _ HAD_, kind, QNI(55343 ��� a31 q47�0 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.596 of Value of Fixture or Appliance �Approved By z6 Rough -In Date Final Date j W—CQ State Surcharge $ .50 MINIMUM FEE FOIII ANY PLUMBING GAS PERMIT IS $20.00 TOTALFEE $r•6e'N-) PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS 5901 W MOORE LAKE DR NE PIN 233024140001 LEGAL DESC DONNAYS LAKEVIEW MANOR ADD LOT 1 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01793 ( ` DATE ISSUED: 10/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- C411A9�1 04:7 HOLLAND EDWARD J & JANET M 5901 W MOORE LAKE DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg ]nsp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.