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PRE 2010 DOCSS Village of Fridley, Nflun. Office of INSPECTOR OF BUILDINGS Architect '' p Fridley, Minn._ 19 Builders F° LQCATION OF BUILDING No. Street: 'a ---Part of Lot Block Addition or Sub -Division Front Pepih %- DEw3CRIPTION OF BUILDING - Height ' _'"`� Stories Manner of Construction To be used as ' * To be completed x Ri Estimated `� �•.r` ,J u.�e,. �. �.4tt�], �o �T=`�2'�. nk. .t.,:; TM� �'I �. r 5 �'�4�' ;'�-; 4 v,�r Permit is hereby granted io �'�' ``r''�' to � + ```" �-• F the building described in the above statement. This permit is granted upon the express cgndition that the rson to whom it is granted, and his agents, employees and workmen, in all the work done in, 'laround and upon "said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding 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 e ordinances. F� ,+ Spector of Buildings. AGREEMENT AND SWORN STATEMENT In consider4tion 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 0tated. 11 Subscribed and, sworn to before me at Fridley, day of ,,',;tea x A.D. 19A. -L. r— U yyyyyy d° r„r, t ' Minnesota,,_ v L SUBJECT PERMIT N City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT .13503 r ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-560-3450 910-F15 15/6/76 JOB ADDRESS 4647 = 212 Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28 & 27 10 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Manning 4647 - 211 Street N.E. 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 ❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure 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. Asphalt 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 $300 • 50 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. $5.00 PLAN CHECK FEE TOTALFEE $5.50 SIGN,A REOFCONTRACTOR ORAUTHO EDAGENT; WHEN PROPERLY VALIDIDA�T,ED THAIS/IS YOUR PERMIT (((DATE) % BLDG INSP DATE SIGNATU OFOWNER(IFO NERBUILDERI IDATEI L APPLICATION FOR RISIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 3SIP00if-5 BUILDER: ADDRESS: �f� / �a •7i• ' i� + �r ADDRESS: e NO:. STREET: LOT :2 "'.2 BLOCK: �� ADDITION: 1V'07.pu CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. of, DESCRIPTION OF BUILDING To Be Used As: X}01 a Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: iGZ Estimated Cost: 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: Aao4 SIGNATURE: 0 A99�4& (See Reverse Side For Additional Information.) •P� ' SO F .I SUBJECT EMIT NO. City of Fridley 23586 AT THE TOP OF THE TWINS BUILDING PERMIT r -RE CFLP--- ______ COMMUNITY DEVELOPMENT DIV I L PROTECTIVE INSPECTION SEC r NUMBER DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 171 7/31/95 JOB ADDRESS 4647 2 1/2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27,28 10 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Katherine Hofford 4647 2 1/2 Street NE 571-4585 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Associates 3482 Auger Ave, White Bear Lake, MN 55110 770-9322 4391 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 0 ALTERATION QX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House, Reroof House (12 Sq) Tear -off, Install 4 windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Windows being changed in sleeping areas must meet the State Egress 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,000 $5.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE $10.00 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC7rqN OR THE PERFORMANCE OF CONSTRUCTION $117.00 Fire SIC PLAN CHECK FEE TOTALFEE — License S 5. $137.00 SIGNA RE bF CONTRACTOR ORAUTHORIZED AGENT IDATEI PEEVATED THIS IS YOUR PERMIT &WHEN BLD INSP DATI1F� SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW (( Effective 8/1/95 ADDN (( CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: 7 � Legal Description: — Owner Name & dress: z. c Tei. # MN LICENSE # Contractor: "1` h✓I Ci — Tel. # %® -73 `L Address: 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 H Ground Sq. Ft. OTHER: Comer Lot [ } Inside Lot [ } Ft. Yd Setback Side Yard Setbacks Type of Construction: S e d L fi 16on F Estimated Cost: Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft 6 Ft = Ft x $ _ $ DATE -Y- % )' APPLICANT: Tel. #-V—&, " CITY USE ONLY Permit Fee $ f%, Fee Schedule on Reverse Side Fire Surcharge $ l0 , LI O .001 of Permit Valuation (1/10th%) State Surcharge $ S-,00 $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.0 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ } Not Necessary [ ] TOTAL $ 3 CC) STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 r Stories I' Urir __.W. rowe .a p12!2�kry{�c�4 Floor 1 Floor 2 _� `IN100 dvvl ' i,. -�_`_::h .. Floor 3 r Floor 4 r F PLUMBING FIXTURE RATES: Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR NO. RATE TOTAL New f=ixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater --Electric $ 7.00 Water Heater – Gas** $1040 Gas Range** ; , $10.00 Gas Dryer** $10.010 Back Flow Preventer es LLNo Reiftspection Fee $42.00/Hr BALL OTHERS AND/OR REPAIRS AND ALTERATI State Surcharge .50 TOTAL FEE $ 0 'r JOB ADDRESS � rc 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 11 Owner d Bulfding Used As Estimated Cost ���'��c?� PERMIT NO. y PLUMBING CQMPANY�,� SIGNED BY TEL N0. — Approved B Rough–In Date Final Date 7 MINIMUM FEE FOR ANY PLUMBING GAS PER f,T' IS $20.00 PLUS STATE SURCHARGE **COMBUSTION AIRSHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING,,VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. TOTAL JOB ADDRESS OWNE Effective On January 1, 2000 BUILDING USED AS ESTIMATED COST .���7\C� PERMIT N0. � e� DESCRIPTION OF FURNACE AND OR BURNER No. of Heatin Units Circle One (Steam) (Hot Water (Warm Air $ Trade Name t5r ,� Size No. �� — BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signe�. TEL # Approved By Rough -In Date Final Date l �I ���- COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes $No( } The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes X No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes NA No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed: assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Tyne and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ,_e ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: Mescribe) I 4 =fin CSC,. 4 HEATING CO: Signed By:\ AZ a'A Date : �tfJj / O !� SUBJECT PERM City of Fridley 3 219 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. `y _ _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ®® r E � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ��' 763-571-3450 910-F15 10/29/02 JOB ADDRESS 4647 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27,28 10 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ate Hofford 4647 2 1/2 Street NE 763-571-4585 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Taskmasters Handyman Service Inc 7411 152 Lane NW, Ramsey, MN 55303 612-363-4538 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20249328 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ ❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Convert window into sliding patio door 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310..9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. See notations on plan. 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 BO 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 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $2,800 $1.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISI0 S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $2.80 STRUCT N OR THEERFOR UCTION PLAN CHECK OTAL FEE �k.NAkCO i6TOAUTHORIZEDAGE Lic se C 15 00 $92.45 NT iDATE, HEP RLY V ATED THIS IS Y^OUR ERMIT /4/ S,GNATURE OF OWNER,1F OWNER BWLDERi iDATE, / O !� NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r.nnstructien Address- q ( Li -? 9./x -54,-e- Legal Description: Owner Name & Address: Tel. # 7�� Contractor1---�s MN LICENSE # Address: "?9/I - /� �e '�°' 05 s��w�e `r OAA -7 Tel: # �/� - ��3 �/ 3-319 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:�5 Construction Type: Estimated Cost: $ P Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Sc 0,,-U) J -ns ! Tel. # 0a ^3(13 A52 Call (763) 572.3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway.Escrow Erosion Control Park Fee Sewer Main Charge $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ e7. STIPULATIONS: 4pkvo 8 .-(Z� f d- a'` H o2 -a-A q ?05c ro-A - C,.'Ale�, AAAI 55 ya 1 Q�Lol,a; �S-I-ro�^ (old- 363- 4S -30o 7ql)-15'ar° t -,^l NW RIC- res �� , v l/j 5-5-3e--) Lac" boa LIC) 2)"