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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. _ '��.� Date........................... Owner ' �!. ... Builder Address ...�.. A ............ .... ........ Address N° 2985 LOCATION OF BUILDING No. .. . ....... Street ...... ............................... Part of Lot�� I Lot .. �e .... .. Block ... /0 ....... Addition or Sub -Division .�........ Corner Lot ............ Inside Lot .... s...... Setback .. .... Sideyard DESCRIPTION OF BUILDING To be Used as: ........ .... Front Depth Z'�.. Height 4zd_�4 Sq. Ft./0.07 Cu. Ft. ........ .................... Front ........ Depth ........ Height ...... Sq. Ft......... Cu. Ft......... Type.... ... / �/I re. ®.�To be Completed ................... of Construction Est Cost 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 all provisions of ordinances of the village of Fridley. . ........... In consideration of the payment of a fee of $. �. ... , permit i hereby granted to .. .... ............... . .................. to construct the building dr 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 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 of any of the provisions of said ordinances. n :.�F_.V_4Z4tjPGAn... Building 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. Cady ®f Fridley, BUILDING N® 5489 Owner: Builder:,_. Address Address L¢ATI ,} F , U.DING No. _ Street - _� Parr of. t Lot Block - Addition or Sub -Division _ ..._ Corner Lot _._ -____ Inside I -dot _ _ Setback -___._ Sideyard _._...._ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Tti' �+' Front Depth - Height/ Sq. Ft. Cu. Ft. '` y _Zroift _ - Depth Haigh! � � Sq. Ft. _ _ CIL Ft. Type of Cons tructiot�"' Est., - 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 forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of �'permit is hereby granted to 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 regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatioA,any of the provisions of said ordinances. . - 109.A J.; Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to we the Building Inspector for separate ponnits for these items. Oil APPLICATION FOR BUILDING PEPJ4IT CITY OF.FRIDLEY, MIN14ESOTA LOCATION OF BUILDING No. � Street T �--�-L-�• Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION, FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. be used as: DESCRIPTION OF BUILDING ight f Sq. Ft. q )N Cu. Ft. -73 8! 7 ----- Front----- Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 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. w -16 - (A Schedule of Fee Costs can be found on the Reverse Side.) r 01 SUBJECT P E R City of Fridley 1489 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. --------I COMMUNITY DEVELOPMENT DIV. INSPECTION rPROTECTIVE SEC. O� 1 ; � NUMBERREV. DATE PAGE OF APPROVED BY `,� CITY HALL FRIDLEY 55432 L 612-560-3450 910-F15 9/5/78 JOB ADDRESS 55909 2nd St. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 17,18 10 Hyde Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Lloyd Lapointe Same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Vikincr Home 1=rovement Co. 4832 24 St. RAQ-3794 4 ARCHITECT OR DESIGN ER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Home 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 191 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof home, exterior siding on home & repair garage 9 CHANGE OF 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 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. 5, 054 2.53 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 P RFORMANCE OF CONSTRUCTION. 33 ry �i -/I,-PLAN CHECK FEE TOTAL FEE SIGNA RE OF ONTR CTORORAUTH RIZEDAGENT �-(DATE) W EN PROPER VAL DATED THIS IS YOU PPR.��{M9IT 1g, 0 BLDG iNSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMI TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: �-- �` V��L-',�7L'� ��� • BUILDER: Address: —s2�-S% s� Address: . Tel. No.: C'� ��� %� y. No.Street: LOT: BLOCK: ADDITION: COYMER LOT: INSIDE TOT: SETBACK: SIDEXARDS: Applicai`it 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:t���y-�i�'1(� lsi:imated Cost: $ 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 infoxmatio�,7 DATE: ✓" �! /� SIGNATURE Stipulations: i d "? ;;r:o i.ur instal(ition - specif'y W-111 heater installation - specify type _ Space heater repair Null heater repair Other (specify) INSULATION AND VENTILATION � �a Attic insulation - specify j ..a. specify final R -Factor-___-- - "'•"fi'o- r'-J"P . ,Wall insulation - specify tyre specify final R -Factor Floor insulation - speci Fy type spec-i�y final R -Factor -- -----------__ --- Storin door installation Storm door repair Storm viindoW installation -- -�-�-- Storm window repair, d 5 r . t- leatherstrippi g Ca king oa Attic vent installation -Ventilating Fans ' ELECTRICAL . New service - specify amps %0 Outlet installation Fixture installation Other (specify) MISCELLANEOUS Porch repair Porch removal Smoke detectors Sidewalk repair Driveway repair Outbuilding removal (only if required by code) -' Other (specify) 4 t4c-w doors 1!rnq windows Door rcpair Wi ndo i re{')a i r foundation repair Fou11dution ' Construction Roo: construction: Gathroom addition Bedroom addition J Other (specify) r: is i E R 10 R Painting i'�;n�cpeIaceT.enn Siding repair `' S p eci �,� �,,,i;:� I3iTEPIG? FI1,11SHING Painting Wall repair: plastering wall board paneling Ceiling repair: plastering tile Floor repair: tile linoleum wood Other (specify ROOFING e�. •,�+ A CERo:oef:,reel acemL t Roof repai r Gutters and downspouts r Other (specify) PLUMBING Bathroom fixtures (specify} Water heater Water softener Well repair Well replacement Pump installation Pump repair Septic system (connect to Public Sewer if in need of repair) Hook-up to public system: • sewer water Pipe Installation Pipe repair Pipe replacement Other (specify______ _._____. 7- X:A�� 71 niit ttity i i cant a-- e IURAL New doors New windows Window repair Door repair Foundation repair Foundation Construction Room construction: Bathroom -addition Bedroom addition Other (specify) EXTERIOR Pa ing airret�lacemenF Siin repair Specify type !N-1-ERIOR FINISHING Painting Wall repair: plastering wall board paneling Ceiling repair: plastering tile Floor repair: the linoleum wood Other (specify) ROOFING Roof replacement Roof repair Gutters and downspouts Other (specify) PLUMBING Bathroom fixtures (specify) Water heater Water softener Well repair Well replacement Pump installation Pump repair Septic system (connect to Public Sewer if in need of repair) 7.- d tet"-„ �%%�:ANMF � G✓t i _ Hook-up to public system: sewer water Pipe Installation Pipe repair Pipe replacement Other (specify R A- A � LAP_ Oza nL Ci of Fridley - -_ -- — Name' . f Applicant Tdmin'isteritig Entity Inspecto r .:iter installitiori specify type t o heater' repa i t +i11 heater repair i' ',"r (specify) ON AND VENTILATION i,,.� is insulation - specify type ify final R -Factor I insulation - specify type I"y final R -Factor - insulation - specify type Y final R -Factor -`-� 1 door installut.ion S.orm door Storm window `n,-tallation window repair 141--it'ierstripping Caulking Attic vent installation -Ventilating Fans,' ans -tA- npb chi ELECTRICAL = B ba o M New service - specify amps Outlet installation Fixture �'�"'a►r -- ? installation efa�%M mV.N>r QC01+1r Other (specify) �3'34L ,�.W�- '�"'-�- e R tai:rclr-, MISCELLANEOUS Porch repair Porch removal Smoke detectors Sidewalk repair Driveway repair Outbuilding removal (only if required by code) Other (specify) CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 STU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS K $3.00 X $2.00 X $2.00 to X $5.00 X U X $10.00 b+ $7.00 Water Ao e� N a :� a +� 004 W 5 Heater q u� Gx a u p� a o' o "U S q H ow° 0 8 O FA 5 crow W to 3 N w UwQ? 3as lee 1st 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 Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 STU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS K $3.00 X $2.00 X $2.00 X $5.00 X $5.00 X $10.00 x $7.00 X $5.00 X $5.00 x '$3.00 x $1.00 X $10.00 Job Address - e ® ! C:i -!S ?— Department of Buildings City of Fridley Tel. #571-3450 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 �j Fridley, Mn. —� — , 19• OWNER l' © !'17-& KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST Z'L' 0 OLD -t NEW BUILDING PERMIT NO. PERMIT NO. $ $_��i . $ $ ROUGH INSP. $ - Date FINAL INSP. $ Date $ APPROVAL FOR PERMIT First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE (510.00) Company (r, 7- Signed By a Tel. No. 3 7 1? MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATS SM%MULVGS a SUBJECT city ®i Fridley `'` 2 6 3 3 6 AT THE TOP OF THE TWINS BUILDING I T r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. j PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 6/24/98 JOB ADDRESS 5909 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 17,18 10 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alice Lapointe 5909 2nd Street NE 571-3959 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 O NEW O ADDITION 0 ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (16 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 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 $.67 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,334 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 CONSTRUCTION. PLAN CHECK FEE TOTAL FE $47 5 SI TUREOFCON. RAC I' R HORIZED AGENT (DATEI N P OPERL V DATED jHff IS YOUR PERMIT 1110 SIGNATURE OFOWNER OF OWNER BUILDER) (DATEI BLD )NSP BATE a NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY 6 ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (p�J I� ConstructionAddress: Jam% O '� S • Legal Description: Owner Name &Address: �� � � 1 � 7 Tel. # Contractor: SF / 1- 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. OTHER: e.4. & - a Lz '. foo j 116 ST Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: $ US. 2 5—'- $ /.33 $ .4-7 Estimated Cost: $ % 3 3 L4 - 'a D (Fee Schedule on Back) Ft x $ = $ Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ ] $ �/�• 75� s