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PRE 2010 DOCSJIM BUILDING PERMIT Village of Fridley, Minn. N° 2003 Date ... : ' . 6. .... ..... Owner r Builder ..,....................... "' Address ............ .... ......................... Address ......................................... LOCATION OF BUILDING �7 No...... l l? �.. ; '"Street .11 ...... ........................ Part of Lot ....................... Lot. ,tp.. Block, ; �........ it ...... Addition or sub -Division Corner Lot ........ Do Setback , S ... de Lot . ,.,... .� .:�IJA Sideyard .#/.Q. r.�ir:T........... . DESCRIPTION OF BUILDING. Front Of Depth , + ... Height Sq. Ft. ..:... Cu. Ft........ . Front ........ Depth ....... Height ae o.... Sq. Ft......... Cu. Ft...�...r..... . .. iy Est. Cost .. �%�,©. AA ..... To be Completed �I of the issuance to me of a permit to construct the building described above, I agree to do accordance with the description above set forth and in compliance with all provisions of 7-of Fridley. ..- _ _- _. .......... • • • • ......... 0...... In consideratic the proposed work ordinances of the i In nsiderati of the payment of a fee of $ t is hereby granted to ,��', perms Y ........... T2� y�,r�! twat construct the building or addition as described above. permit 1i granted upon Oe .e express conditi that the person to whom it is granted and his agents, employe and workmen, in all work a done in,.around an upon said building, or any part thereof, shall conform: fin all respects to the ordinances of Fridley, Minnesota arding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revokdd at any time upon violation of any of the provisions of said ordinances. ........ Building Inspector NOTICE: This permit oes 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. 0 • City of Fridley, Minn. BUILDING PERMIT Date: March 13, 1970 Owner: Lee Hitzeman Builder Address 7566 4th Street N.E. Address Same Same ase'ldp/ N° 10575 LOCATION OF BUILDING No. _ 7566 — Street ._ 4th Street N.E. part of Lot Lot 26 Block 2 Addition or Sub -Division . Osborne Manor Addition Corner Lot W Inside Lot R Setback 40' _ —_ Sideyard 10' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addition Front 16' Depth 12' Height 20' Sq. Ft. 192' Cu. Ft. 3840' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction — ftrime _ Est. Cost � To be Completed Novgmber, 1970 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 21 provisions of ordinanoss of the city of Fridley. e , o In consideration of the payment of a fee of a 37.00 pelt is hereby granted to Lee Hitzeman 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 violation of any of the provisions of said ordinances. Al Bagsta_ NOTICE: 'Nis permit deet not cover the construction, installation for wiring, plumbing, gn heating, sower or water. Be sure to we the Building inspector for separate permits for these Name. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S . NAME�F,E /T2 �N/�� a f BUILDER : ��� TI1 ADDRESS : 7a5 /� y, 1T. f_ ADDRESS: JAI, -- NO :. % Y(v !P STREET:"/ 2! �J, )1.,. LOT ; o°L�o BLOCK: v;2 ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Surveg of Lot and proposed building location drawn on these Certificates. DESCRIP7TION- OF B .. DING To Be Used As: c ' Front: Depth: �'� Height: Square Feet: - P'` Cubic Feet: R Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:AEstimated Cost: p To Be Completed: t�,71, 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: ` 44-elz 15 , 12,70, SIGNATURE: (See Reverse Side For Additional Information.) � ♦ . rte..: • .�Y w . ` COMBINING THE RECORDS OF HARVEY A. C Y SURVEYS - UTI T .100m J. E. HILL, CIVIL ENGINEER ANOKA COUNTY SURVEYS ESTABLISHED 1896 MINNEAPOLIS SURVEYS VENN COUNTY SURVEYS LAND SUR VE YORS C. F. SANDHOFF 8410 SHADY OAK LANE N.E. REGISTERED UNDER LAWS OF STATE OF MINNESOTA CIVIL ENGINEER SUNSET 8-0078ESTABLISHED 1908 OWNER LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS JAMES NELSON 345 PLYMOUTH BUILDING LINCOLN 8721 SURVEYOR ESTABLISHED 1922 INDUSTRIAL - JUDICIAL BUSINESS - TOPOGRAPHICAL�}igtfDr'g 4rLPrtifitdtP METROPOLITAN LAND CITY LOTS - PLATTING ` SURVEYORS. ESTABLISHED 1931 Julian Johnson Inv. 14542 F.B. 604-78 K 51 M 'h I\� ,23' Lo 4- - ( I.o' 40' )- w c� ( 24' �- �8T6.4B \IU u tA ¢3 v c - -x -tis.o EI.=e69.68 1351 tr T L _ - _L- - - _ -i! f-- - 1L - .L tt_ • _ • _ _ SuB.,ECT City of Fridley 28543 AT THE TOP OF THE TWINS B U I L D i N G P E R M I T P775 ® 1.572 3 MCINITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC f 1 � NUMBE REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910415 11 98R 6 f' JOB ADDRESS 7566 4th Street E 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 2 I Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stewart Erdman785-0005 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 52c REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (20 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 80 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 QE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1714 .86 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 $56.75 Fire SC $1.71 PLAN CHECK FEE TOTAL FEE Z /S�GNAi R OFCON•R TO RAUTHOPI OAGENT iDATE� WHEN PER ALIDATEO 7H1S IS PERMIT ' SIGNATURE OF OWNER IF OWNER BWLDERI iDATE, BLQG INSP BATE NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION `U ConstructionAddress: r/ S 4� 0�',�— Legal Description: Owner Name & Address: t;yto 0-1 ill y d fes( 6,k,k/ Tel. # Contractor: 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: Le W� id Hgt/Ground _ Sq. Ft. OTHER: r %i �n� 4�( t✓P �.�sC I �! Construction Type: I DQ%r Estimated Cost: $ Zg.� l % / �Z If (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 Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 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 [ ] CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES nL JOB ADDRESS ow Residential Rate Furnace Sher c or , Burner - Also Repl cement F $ 30.00 (Side Vent - Fill Out Back) ---- Gas Piping (Needed with new furnace, $ 10.00 but not replacement) Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 40 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work 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 i G; M' Effective On May 10, 19 ESTIMATED COST fVd- S -O0 PERMIT NO. �'� 9-3 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Air) $ Trade Na a A -A - %Z0 v Size No. / BTU % o00 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 $ .5; rulings of the Bui'ding Division, and hereby declares that all the facts and v representations stated in this application are*true and correct. $_ Abe. GOLDEN VALLEY HT , '�_ All - HEATING CO ;'� 51621WEST BROOM :- CRYSTAL. nisi Signed gig`"`"`DATE NOV � �v Approved By Rough -In Date Final Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing. chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of �� U All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: Yes (.4' No ( ) Yes �No ( ) Yes L,-�'No ( ) Yes ONo ( ) Yes (/rNo ( ) YeW') No ( ) Yes (-j-No ( ) RICHMOND & SONS ELEC. INC. HEATING CO: dba: GOLDEN VALLEY HTG & AIR 6482 WEST- BROADWAY Signed By: CRYSTAL, MN 55429 M 2-535-2000 Date: NOV - 6 2000 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTI IRFS TO RF INSTAI I Fr) nM FAv^u M nnR Effective On May 10, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'* Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ 50 TOTAL FEE $ ZO. w JOB ADDRESS_56W-C, ±> O(JA 15 Oe -W J 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 aDDlication are true and correct. ERDMAN, STEWART 7566 4TH STREET NORTHEAST FRIDLEY, MN 55432 Owner (612) 785-0005 Building Used As Estimated Cost 400" 00" 13o PERMIT NO. 1, PLUMBINGCOMPANY SIGNED BY (\..G�/ TEL NA02/ 1127" 8033 Approved By Rough -In Date Final Date 1-d6-611 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. My =17 0M® PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'* Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ 50 TOTAL FEE $ ZO. w JOB ADDRESS_56W-C, ±> O(JA 15 Oe -W J 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 aDDlication are true and correct. ERDMAN, STEWART 7566 4TH STREET NORTHEAST FRIDLEY, MN 55432 Owner (612) 785-0005 Building Used As Estimated Cost 400" 00" 13o PERMIT NO. 1, PLUMBINGCOMPANY SIGNED BY (\..G�/ TEL NA02/ 1127" 8033 Approved By Rough -In Date Final Date 1-d6-611 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.