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PRE 2010 DOCSN? 234 Village of Fridley, Mim. 1101A, 1 1 a7tzll U 1., Office of INSPECTOR OF BUILDINGS Owner Architect Builder, '6 b �r Fridley, Minn., 19 LOCATION OF allILDING P Street Part of Block Addition or Sub -Division Front Depth Height Stories Manner of Construction To be completed" '-Y �-_ ` Estimated Cosi Permit is hereby (granted the building ;' _, = :�' described in the above statement. This permit is granted upon the express Condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around 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 ordinances. �. ati Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration 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 stated. 7% Subscribed and sworn to before rile at Fridley, day of . _. .: ; A.D. 19�_ . Minnesota, fids SUBJECT PE R City of Fridley AT THE TOP OF THE TWINS PERMIT DNO r BUILDING EC • COMMUNITY DEVELOPMENT DIV. U. -----', r � � PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/5/78 JOB ADDRESS5817 2'� St. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 Hyde Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE George Pfieffer Same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Home Improvement, Inc. 4911 4th St. 560-4857 —Lloyds 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 9 REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Interior remodeling 9 CHANGE OF USE FROM TO STIPULATIONS Provide 616" minimum.headroom in stairway Call for inspection before doing foundation repair 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, $4,200 $2.10 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- 27.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE I ' �na4 $ 29.10 - A le-/�YA '-s!,' tONTRACTOR0 AIG NATURE OF AUTHORIZED �vT IDATEI WHFA OP. LY VALIDATED THIS IS YOUR R BLDG I PATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY Or FRIDLEY APPLICATION FOR RESII)ENI'IAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:' Address: BUILDER: Address: Tel. No.: No. � � 1 '� Street: /.-= LOT:� Z. ADDITION: I`t%Ot aAce A0O/7743 BIAcr.: CORNER LOT:. INSIDE, IAT: SETBACK: SIDLYARDS: Applicant attach 'to this form T<ao 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: Esi'imated Cost: $ �� 7 To Be Completed: �� Al't.�Alt. B Pr6posed 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 information. DATE: SIGNATURE: � a f Stipulations: Or e-TeJhi a� _ 11 :drab, P9• CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures K $3.00 Future Fixture Opening x $2.00 flew Fixture, Old Opening to $2.00 U . � $5.00 Water Heater • to 99,000 BTC water $5.00 100,000 BTU to 199,000 BTC y $10.00 ° x $7.00 C ''43 m c Electric Water Heater x p, w Heater se %1 0 x $1.00 Gas Range to 199,000 BTC x u �a pw 1 First $100.00 $5.00 each add. $100.00 or fraction $2.00 O O S 5 O NY • N L M w V 5 M W S o w y w u w Ov as lec 1st 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer M : flew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures K $3.00 Future Fixture Opening x $2.00 flew Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater • to 99,000 BTC x $5.00 100,000 BTU to 199,000 BTC 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 x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTC x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE (510.00) Job Address �" e l , Y 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 1 Fridley, Mn. , 19 / d OWNER KIND OF BUILDING ix" 0 0 (' " USED AS CL LX,-' C-- L—�' TO BE COMPLETED ABOUT ESTIMATED COST ! o 0 / /7 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company t'r� Signed By Tel. No. �� l $ ROUGH INSP•. $ Date FINAL l*p. $ Date $ APPROVAL FOR PERMIT $ .,® 0 $g MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SUFE $ .50 11 SUBJECT City of Fridley 17 4 0 8 AT THE TOP OF THE TWINS BUILDING PERMIT _ P ECEIPT N � • _____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/16/84 JOB ADDRESS .55817 - 211 Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3Q 22 I Hyde Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Viola Pfiefer 5817 - 231 Street N.E. 571-3699 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lakeside Construction 864 - 201st Avenue N.E. Cedar M 434-9499 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install s�xdg and windows 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING. HrATING, PLUMBING AND SIGNS 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 $41700. $2,35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $50.50 S UCTION O THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $52.85 SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT (DATE) WHEN PROPE RL A,�II DATE THIS IS YOUR pPERMIT SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI BLDG INSP SAT 11 • CITY OF F1tIDLCY Effective Aug. 1, 1981 ' APPLICATION FOR RESIDENTIAL BUILDVIG PERMITS (New, Alterations, Additions, or Repairs) r s-� OWNER:�0,fA A c, � e; �/'— BUILDER: ADDP.ESS:7 !� -1- A -157 -ADDRESS: Zce e{ �' /'4 TEL NO; -5 7/ � .�� % TEL 110: Construction Location STRICT NO: –Y/ STREETXc- : oa -E" Gly" LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: y Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drain on certificates to scale. Front: DESCRIPTION OF C01-rSTRUCTI014 Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ Type of Construction: —54 l )ct/S' Estimated Cost: Zb Be Oonpleted: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ $ SEE PF.W LE SIDE OF SHEET Mie undersigned hereby makes applicaticn for a permit fcr the ♦:vrk 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 represent; tii stated in this application are true and correct. SIGNATUIS : Stipulations: SUBJEer City ®f Fridley 19 1 9 AT THE TOP OF THE TWINS BUILDING PERMIT r � REC O. � • COMMUNITY DEVELOPMENT DIV. may_------ r PROTECTIVE INSPECTION SEC. � �� NUAABER REV DATfi PAGE OF APPROVED BY i ��'-'>;•, CITY HALL FRIDLEY 55432 ---- l J\ 612-571-3450 910-F15 4/13/99 / JOB ADDRESS 5817 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 30 22 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Viola Pfeiffer 5817 2 1/2 Street NE 571-3699 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 9199 Central Ave NE Blaine, MN 55434 717-0700 20093688 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 WORN ❑ NEW ❑ ADDITION ❑ ALTERATION G. REPAIR ❑ MOVE ❑ . REMOVE 8 DESCRIBE WORK Reroof House & Garage (10 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED 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 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 1 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 $857 $'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- $32.00 SC WG@ft $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION AFqq .86 PLAN CHECK FEE T OfA FEE Lice s C $5. $38.36 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HE P V LID THIS IS Y U PER — SLAG INSP TaATE _ S-GNATURE OF OWNERJF OWNER BUILDERI iDATEI NEW [ ] Effective 1/1/99 ADDN [ ] _ CITY OF FRIDLEYR ALTER '�f ' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: a� �/ /V E \� Legal Description: Owner Name & Address: Contract Address: Tel. # 5f7J .369 ENSE# 560936 09 Tel. # LD /a %l % b•7CO Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT 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: ,1� Q �'� Y..- Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ _ $ DATE: "-h M APPLICANT: da�iAw Tel. # L/?/ a r2l f7 a%&-) CITY USE ONLY Permit Fee $ 3,2.&r-> Fee Schedule on Reverse Side Fire Surcharge $ (-C' .001 of Permit Valuation (1/10th%) State Surcharge $ F SCS $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ ,�j $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 $ 0• STIPULATIONS: a