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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N° 2372 SII Date ,/• •�% .+;.......................... . Owner)W ................ Builder ........................................... I ' Address .. {(. � ... 'd'L�?k. ' ,-4 • •-ff,-jAddress......................................... LOCTI N OF BUILDING I� No....fa.. Street ... ........ ........................... Part of Lot . ....................... Lot ......$t':�.. I: Block ..3 ............ Addition or Sub -Division We4 .p�.f.. .......... iI a. Corner Lot ........i.... Inside Lot ...W...... Setback .. ? ''�! �,rSideyard .�l�i .,ei�l�....r�......... DESCRIPTION OF BUILDING To be Used as: i! Frontjp... Depth .aZ .. Height !.�'�... Sq. Ft. 7f'elf. Cu. Ft......... .................. Front ........ Depth ........Height ......... Sq. F't......... Cu. Ft........ . Type of Constructio# y 4A*" d Est. Cost ../�.�A ............ 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. ............ In consideratioz'.' of the payment of a fee of $..f:. , permit jh hereby granted to ... .......... to construct the building or addition as described above. This p . t is granted upon fexpWr'esss ondi 4 t 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 limitsiIand this permit may be revoked 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. a sure to see the Building Inspector, for separate permits for these Items. III • City of Fridley, Minn. BUILDING PERMIT Date: 41 Owner: _ �4 ,f,�t,suilaer ......... Address .... y, - , F w Address±.._._. __.._..._..._.._.._ LO 1 OF BUILDING No. �.-%. Street _.,�:..�,��:-:�:,r..._....,E:_...._.....___._._..._..._ Part oR ut ...... _ __ :_ /�" +. •--........._......._....... Addition or Sub v ... � ... ' .. T Lot ....... 4+'.:. r+...... Block .----_.;F -- ivisi n Corner Lot...._. ..........._...._......_ Inside Lot ..... _.........---- ................: Setback ,� ►--.......----••------------- ......._......._- Sewer Elevation _..._..._.._ .................. __.___......._..______...._......._..._.._._ Foundation evation DESCRIPTION OF BUILDING To beUqpd as;-' -- �y _ '� ,� Depth,,:? d ...::.... Front _-••_-. Depth_., _ Height �g Sq. Ft..4i2- ........................ - Cu. - ...........- ..-:.__....... ........... From. _.. Depth ....._.. eight s . Ft. ...................... Cu. Ft. .. Type of Construction ""2'-.. Est. Cost ..:.......,._:.... To be Completed ............... _._.._.......................... C,SUTI N THIS PERMIT DOES NOT AUTHORIZE VIOLAT• ION D ni,1 pj ._ L'UILL;`-JNID COVENANTS AND 1; 'G ';EST1,1„ 'ONS. 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 $. e` .° "_i �.._...., 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 vition of- any of the provisions of said ordinances. .11 A Inspector NOTICE: This permit does not lover the construction, Installation for wiring, plumbing, 'gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 orI �, i �2,-) /-/ 11-6-� APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name ilder .� Address Address - LOCATION OF BUILDING No. /Z Street % Part of Lot Lot Block Addition or Sub.Div.�_+,�, Corner Lot Inside Lot_,_„ Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUIMING To be used as: 4 ont Depth zHeight ,i/6 Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft, Type of Construction 2.64 .) 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 representa- tions stated in this application are true and correct. DATE����_ SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) ., . . .0 • r m CL CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Bbllh Wash Floor Auto. �.�:.. Urinal Tufa Shower 'Srhk : Tray011r1t;..;. Drain �6>I11n' Washer PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $7. 00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Slow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 W Sump/Receiving Tank $ 7.OD Water Treating Appliance $10.00 rr Water Heater -Electric '� 87.00 Water Heater — Gas** $10.00 >_ Gas Range** $10.00 Gas Dryer"* $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42,00/Hr v ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge t�v TOTAL. FEE $ .50 Effective On March 1, 1996 Gas Mtwater Heater > Gas Elec JOB ADDRESS JW'/ ,2 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 c rect. � Owner IT� /- C®JPlo f✓ -.6e 72 -ogcaq Building Used As Estimated Cost ..� �✓ `` - PERM11' NO. PLUMBING M SIGNED BY TEL�NO.4A Approved By �C(� Rough -In Date Final Date $ ®� s6 MINIMUM r•tt HUft ANY PLUMBINCaI PLUS THE .5o STATE SURCHARGE *"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 80 INCHES. m Ci a F- 0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning — All Sizes $ 25.00 $� All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ Commercial/industrial 1.25% of Value of Appliance or Work $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING1COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 125.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On March 1, 1996 JOB ADDRESS 561A E4k) 5+ • Or 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 orrect. �i� _ 1996 OWNER F04h CV®sser BUILDING USED AS 41J)P.I J 1 W C J nn ESTIMATED COST �� o PERMIT NO. `Z2/c) No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEA ING COMPANY BLAINE HTQ. Aic ANOKA. MN A5y Q N.E. Si ed 8f -A A Tel No. 15-?—(a� Approved By FILL OUT BACK SIDE FOR REPLACEMENT FURNACE Rough—In Date STACK VERIFICATION ON Final Date t"� y CHEMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from Hist or deterioration Yes () 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 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: H, 77 ,.' i�ZLa HEATING CO: Signed By: a Date: SUBJECT P•E"RIfi-E?� City of Fridley Q 2 5 5 0 8J AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. � r 1 � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/16/97 JOB ADDRESS 5612 5 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9,10 3 Hamilton's Addn To Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Faith Crosser 5612 5 Street NE 586-0854 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Windgate Inc 3810 Rum River Dr, Anoka MN 55303 4229592 1389 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 ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House (Vinyl) 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. 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 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 $7,000 $3'50 WITH WHETH SPECIFIED HEREIN R NOT. THE GRANTING OF A PERMIT DOES NOT SOME TO GIVE ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S F ANY OTHER TE OFYLOCAL LAW REGULATING CON- $124.75 Fire SC $7.00 STRUC I OR THE PERFO NCE O CONSTRUCTION. IF XPLAN CHECK FEE TOTA KEE oe Lice C $5. $140.25 N ONTRACTOR O AU A AGE T (DATE) E PROP VALIDA 8 G )NSP D HIS IS Yoj IM PERM T qA E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEi NEW [ J Effective 1/1/97 ADDN [ J CITY OF FRIDLEY ALTER [ J SINGLE FAMILY. AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION( ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: 44904�, Tel. # MN LICENSE # 1389 i7 Tel. #9a 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: Construction Type: o/a&j t�i9yl�� /�lyg Estimated Cost: $ r (Fee S e/dule.on Back) Driveway Curb Cut ,Width Needed: Ft. + 6 Ft $ DATE: !I( - APPLICANT: CITY USE ONLY Permit Fee $ : f S Fee Schedule on Reverse Side Fire Surcharge $ ,L'C.� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ �, �` L,' $5.00 (State Licensed Residential Contractors) 3riveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessaryf ] Not Necessary [ J TOTAL $ / �_/e, iTIPULATJOi\'S: SUBJECT PER City of Fridley T764 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 1 L• _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. , NUMBER REV DATE PAGE OF APPROVED 8V _ CITY HALL FRIDLEY 55432 612-571-3450 910415 9/9 /9 / 98 10B ADDRESS 5612 5th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 9-10(N3/4 3 Hamiltons SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Faith Crosser 5612 5th St NE 55432 586-0854 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Rem d 7930 UniversityE Fridley55434 795-941020138780 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & ara 20S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building 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 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 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 $1, 714.00 $.86 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 PR ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $56.75 Fire SC $1.71 STRU ����THF vFRFnRMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FE / Licen S $5.0$ :32 SIGNATUAEOF-MTRA(CXORAUA40RIZEDAGENT IDATEI N P OPLIDATED S IS Y PERMIT Ur BL INSP •//�r GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI [ ] Effective 1/1%98 CITY OF FRIDLEY SINGL` E FAMILY AND DUPLEXES R-1 AND R-2 47 BUILDING PERMIT APPLICATION ,. -: LructionAddress: IIS—• Description;: Name 'r Address: ,raA'{A S�; e'— _5& 1 a 56h S+ N e_ Tel. _ f r:, �LS1 [ .c C: MN LICENSE �_ ss:�^�i �l�tUP•t3[�ii_ �U�. /l!� Frtc!(�_ Tel.# Ig l�iy �a Attach`'"to this 'application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT AZ�EA: Length _-'Width Height Sq. Ft. AREA: Length Width Height Sq. Ft. v CK' AREA: Length w Width Hgt/Ground Sq. F,t. HER: e $ ....�:ru�tioci Type: ��-t.'.¢� " Estimated Cost: (Fee Schedule on Back). t ray Curb Cut Width'Needed a, ' Ft: ZAPPLICANT:��-'.-'. Tel. # f CITY USE (,ONLY _ ...... $ Fee Schedule on Reverse Side hee of Permit Valuation (1/10th%) :star Surcharge . $ $.501$1;000 Valuation { SAC Chargeer SAC Unit } ; Li-: cnse Surcharge $5.00 (State Licensed Residential Contractors) tF , !, :: Y c W ay Escrow $ - =Alt. A or' Alt. B Above r h , r u�iun Control $ ` 1$450.00 Conservation Plan Review a` `Fee Determined by Engineering Main Charge , ' $ w x 4 " ; Agreement Necessary [ ]. Not Necessary a TOTAL h °,n S` fPULATIONS: I b� op 4 Al � fi�51 .: mss/zs laglk� NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (7 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address:J (n - Legal Description: Owner Name & Address: Tk%� �- 1 /1 �D 5S 61 a, Tel. #–,f Contractor: MN LICENSE # (jo Address: S61'l(,Djji( t� J JJ-nMj i , e 564X Tel. # Cf62--g'7— I Lo 13 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. oq.. 6y Construction Type: � Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 4 to APPLICANT: Tel. # 45Z '6%'] I c0 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] $TIATIONS. c