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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT ° 1842 Date: ............ Owner....................................... Builder Address...................................... Address ............................................. ON BUILDWG No. , :.a .. Street ................... ........... Part of Lot ............................. Lot ...%CS....... Block ......0 ......... Addition or Sub -Division ....................................... Corner Lot ........... Inside Lot ... Setback .. f Sideyard ..fid ....................... DESCRIPTION OF BUILDING To be Use as: 0. . ....... ..... Front .. Depth %Z- ... Height e� - 4.. Sq. Ft. ........ Cu. Ft. ........ ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ .",� a !"�e4 Type of Construction e ....... Est. Cost .,1 -PL ............... 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 village of Fridley. ..................................................... 0 In consideration of the payment of a fee of $.�aZr......, permit is hereby granted to . . ......to construct the building or addition as described above. This permit is granted upon e express condition that the person to whom it is granted and his agents, employees and workmen, in all work done 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 anxy"time upon violation of any of the provisions of said ordinances. ... . + .......... 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. City of Fridley Application for Plumbing and Comas Rtting Permit DESCRIPTION OF WORE Dept. of Bldgs. Phone 560-3450 � 757-3-3 •� � � �/� �� Number. Kind and Location of Fixtures Location p0 PARTIAL RATE SCHEDULE 8��0 U' R N WATER HTR. GAS ELEG Base NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Signe Future Fixture Opening ................ x 1.20 $ 1st New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin .... ........ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 2nd ROUGH New Ground Run Old Bldg. ....... .... — x 3.25 $ -fir 3rd 4th L_ • Future Connection Openings New Fixture, Old Openings Connected with Sewer ElCesspool E] 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner /',- v &- Kind of Used as To be completed about Building -50 -&' / % - 4O � Lr� GAS FITTING FEES: NO. RATE TOTAL FINAL—&-- 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ 9t 1'6 - TOTAL FEE $ 5 4E PARTIAL RATE SCHEDULE Estimated Cost, $ Pee (Yld—Permitew. Building Permit No No. �J PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Signe Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin .... ........ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 3 ROUGH New Ground Run Old Bldg. ....... .... — x 3.25 $ -fir / % - 4O � Lr� GAS FITTING FEES: NO. RATE TOTAL FINAL—&-- 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ 9t 1'6 - TOTAL FEE $ 5 4E City of Fridley, Minn. BUILDING PERMIT Date: - May 25, 1970 Owner: Robert D. Moseman Builder Same Address 7533 - 4th Street N.E. Address Same LOCATION OF BUILDING No. 7533 Street 4th Street N.E. Part of Lot Lot Z.5..._.__ Block 1 Addition or Sub -Division .._._..0AbPX Corner Lot __ Inside Lot ? Setback —r._ Sideyard Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING . 10663 To be Used as: Q ra.g Ste_ Front 24' Depth _ 24_ Height _ 1Q'— Sq. Ft. 516 G1. Ft. 'i 76 0 Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction _ Erame I Est. Cost To be Completed _ May 25, 1971 $5.00 Partial payment of $11.00 fee for complete garage Hardsurface driveway 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 aboveset �grth ��, compliance with all provisions of ordinances of the city of Fridley. ./ In consideration of the payment of a fee of $5 .00, permit is hereby granted toRobert D . Mosemaa 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 ofbuildIa- within the city limits and this permit may be revoked at any time upon violation of any of the provisions of safd ordinances. fling Inspector CLARENCE BELISLE NOTICE: Me perm(t does not cover the construction, installation for wiring, phrmbing, gas besting, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 0 • APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owNER's.NAME:_�b�r/ 11�/Ds fIVgA BUILDER: ADDRESS: 7-5-3 3 �h S t AIF ADDRESS: -Sa '­� e NO:. 75-3 3 STREET: V"" Sf N6 LOT; BLOCK: % ADDITION: DS�o i' �az or CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Ct., 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: ef Front: Zy Depth: y Height: %® Square Feet: S,%6 Cubic Feet: S %6 Front: Depth: Height; Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ L n 0"9,0 To Be Completed: Maj- z s , /77/ 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: _! " a y z sr i 70 SIGNATURE: (See Reverse Side For Additional Information.) IN City of Fridley, inn ` 114 9 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT ate: June 12, 1972 pwnw; Robert D. Mo s eman Bider Same Address 7533 - 4th Street N.E. Address Same LOCATION OF BUILDING No 7531 Street 4th Street N.E. Part of Lot Lot 15 Block 1 Addition or Sub -Division Osborne Manor Corner Lot Inside Lot % Setback Sideyard file'wer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: .—Ga—age Front __24' Depth 9-41 Height 101 Sq. Ft. _.. 5 7 61 _ Cu. Ft. _ 9760 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost $2,609 To be Completed— 6/12/78 Stipulations: Provide frost footings under garage and provide a hard surface driveway. In consideration of the issuance to me of a permit to construct the building described above, I agree t9 do the proposed work in accordance with the description ab a set forth and in compliance with all provisions of Ordinances of the city of Fridley. 1.30 State Surcharge .In consideration of the payment of a fee of $___1100 , permit is hereby granted to Robert Moseman to construct the building or addition as described above. This permit is granted the express condition that the person to whom it is granted and his agents, employees and workmen, in all wuop done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of �iidley, Minnesota, regarding location, construction, alteration, maintenance, repair and moving of buildin>� city limits and this permit may be revoked at any time upon violation of any of the provisions of said P S Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME : ,,1W L0r_r2) • 1110 5'&I'1 411 BUILDER: ADDRESS: 2-5-3 3 Tt4 TAA ADDRESS : NO • . ;>19-3 3 STREET • i " � St IVE a• LOT: S_ BLOCK: ADDITION: ®.rd ®yam e CORNER LOT: INSIDE LOT:ETBACK: SIDEYARD: 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: Gam✓ ��e Front: Z- -Depth: 7 Height: d Square Feet: 5-2 Kez, Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: lUooy( Fr_aoff & Estimated Cost:_ $ 4 To Be Completed: 7-30 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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: 4 /?7� (See Reverse Side For Additional Information.) 0 0 j ROY J. HANSEN 13907 Spring Lake Road Land Surveyor ���� �" SURVEY Hopkins. Minn. 55343 `� AND Telephone 938.56'8 Civil Engineer , OF PROPERTY OF Robert D. Moseman LocATlori 7533 4th Street.h:orth,�:ast, Fridley, Vinnnsotp DESCRIBED AS FOLLOWS-- Lot 15s Block 19Osborne MPnor ' r 13S' ' t� 3r 13s-, I CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE. OF SURVEY I hereby certify that on_. /-;� a-46fo_ _ 19_47._ I hereby certify that on _ 19__ I made a sun•c) of the lo:atiun of the budding(%on the above I surveyed the propem dc.cribed ahuve and that the above plat described property and fta the location of ,aid building(v) is is a correct represrntatiun of said survey, coat:tly shown on the ahuve plat. is ' • ' � ' 6 Aa i 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 �S33 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 $ 2O-00 that all the facts and representations stated in thisap lication are true and correct. 2-0- ,1995. Gas Piping (Needed with new furnace) $ 10.00 $ 'Ro 6r2T w�/ �-i ✓ ' OWNER / Gas Range $ 10.00 $ BUILDING USED AS Cos-,'r�r L Gas Dryer $ 10.00 $ ESTIMATED COST 41.00o. d' PERMIT NO. ✓ 133,� *Air Conditioning - All Sizes $ 10.00 $___L0 —.00 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK ets-0 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) of Water (Warm Air) Trade Name �.t'ma�Ker� Size No.6wIt 0 roo Commercial/Industrial BTU (ac% noo HP EDR 1 % of Value of Appliance or Work $ Fuel N&+tio_.oL Total Connected Load f8 00� State Surcharge $ .50_ Burner Trade Name Size No. 39, � BTU HP EDR TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 HEATING COMPANY LUS la m^ Signed Approved By Rough -In Date Tel No. 6_2J-32949;1- Final iJ-3$8;1- Final Date '27 - 93 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 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 A) No ( ) 2. Is free from rust or deterioration Yes.P11 No ( ) 3. Has no foreign objects lodged within Yes No 4. Is securely supported Yes () No ( ) 5. 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: � C�- - � - Gc •�. Imo.• �l� �-�.., ��.�. ��e�-�.. 4��.r HEATING COMPANY It S 7b M W ez4 -7,3 / Gi¢ L Signed By Date Jtdy 70- 93 SUBJECT P E R,MAI.�I Q City of Fridley- --m AT THE TOP OF THE TWINS BUILDING PERMIT22556 r COMMUNITY DEVELOPMENT DIV. 1 ~ PROTECTIVE INSPECTION SEC. r I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/24/94 JOB ADDRESS 7533 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 SHEET 1 Osborne Manor 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert D Moseman 75334 Street NE784-9769 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. 8 USEOFBUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $5,700 $2.85 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- $81.00 Fire SC $5.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $89.55 St t1jEOFCONTRAG RAUTHORIZEDAGENT (DATE) WHEN PROP—&Y VALICIATED THIS IS YOUR PERMIT 7 —z 9 a - BLDG INSP MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW Effective 1/ 1/94 ADDN CITY OF FRIDLEY ALTER [ ( SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I�Sp Building Permit Application Construction Address: _�. 3 • l Description: Legd p _-- _ Owner Name & Address: Xo �&Zr ,�®s`el rc!� Tel. #'%�1'%6 % Contractor: , e 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 Widthh- f l Hgt/Ground Sq. Ft. OTHER: g.oUe Ql Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: `V k.fte kT­ (Cost on Back) Driveway Curb Cut Width Needed: DATE: 6=z3 " ?I APPLICA 6 Ft = Ft x $ M1 Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ �l Fee Schedule on Reverse Side Fire Surcharge $ 5�. `�Z'3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 $ t `� STIPULATIONS: Building $ d/, 2 5 BUILDING $ Permit No.: - 1 ` I Inspections Surcharge RESIDENTIAL APPLICATION License Surcharge Received By: 763-572-3604 $ Curb Cut Escrow $ Da" 'tai U N - 4 200% $ Park Fee CITY OF FRIDLEY Sewer Main Charge $ DATE D 7 YOUR E-MAIL ADDRESS sITE ADD 3 f" l Cl 5-1 THIS APPLICANT IS: X OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: /7 TENANT A ' ADDRESS: -N 3 3 IVAr, t /tT Gr CITY I STATErn`LIP 5S -V32- PHONE: 7!a 3 3�—�C�a CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE SINGLE Fg%/NEW CONSTRUCTION SIZE ❑ TWOFAMII.Y/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH $ROOF ❑ DRAIN TILE ❑ DECKSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:13NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: %—roo6lw ark"?--rj nll nd SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: E 1997 U.B.0 FEE TOTAL JOB VALUATION 6-000 OCCUPANCY TYPE Permit Fee $ d/, 2 5 Plan Review $ Fire Surcharge $ Surcharge $. License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ // 9, 7,j See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT UJ U.SS A K I JVY - PRINTNAME / / I O Sa Ne d l? DATE -k/3 07