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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: r r~ Owner.' ..._.. _...._ ........... _..... Address N° 85 Builder...._....... .._...__._. _ __ .._.......__ _. _.___._.._._�_... Addressen. __....._.._......_......._._._________....._.._._..._.. 010O"I--e BUILDING No. 4 ///—•---•----•- Street _._ !......_. .............. ....... ._..... Part of Lot Z-1 Lot ........................ Block ....._..__----....._......._........ Addition or Sub -Division _..-- - --._...ate_.. Corner Lot .................................... Inside Lot ....._.�"'...`........... Setback ................. ideyard---...Z0._..f ........... _............................ ............ Sewer Elevation....._............._.._..._....___.._...._.._.._....._.._........._......_.........__ Foundation Elevation DESCRIPTION OF BUILDING To IppU I % �9 - –_ Front .� �.-•- Depth - -.. Height .- ....... Sq. Ft. / G� Cu. Ft.�fA449 ...._..............-............._......._.............. Front ...................... Depth ................ Height ....................... Sq. Ft. ..... _................. Cu. Ft ...... _................. ,rO Type of Construction ....�,,.Lp.... Est. Cost.../............ ... 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 city of Fridley. d In consideration of the payment of a fee of $..... "_.._...._-_-_-, 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 violation of any of the provisions of said ordinances. -- d ,7 ; Y Building Inspector NOTICE: , This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items:- • . • APPLICATION FOR BUILDING PERMIT' CITY OF FRIDLEY, NIMESOTA Owners Name �d d ® Builder' ` % o,.a s ff w1 s �_�— Address Address ��� %d 1 fudA live.. Il/o 97PI-5 LOCATION OF BUILDING No. ! I Street �'d Part of Lot Block i- ­Addition or Sub.Div. Al Corner Lot Inside Lot, Set Back Side -Yard SEWER ELEVATION- FOUNDATION ELEVAT.ION' Applicant attach to this,form Certificate -of Survey ' of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front - �� Depth +=Height 2-d Sq. Ft. ® Caz. Ft.- Z®® Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ryrEstimated 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- i ons :stated in this application are true and correct. DATE c SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) Date: a Owner: Address City of Fridley, Minn.. BUILDING PERMIT N? 5 0 3 0 Builder ___ ,. Address No. all Street Lot _ _ .__ Block Corner Lot Inside Lot Sewer Elevation _ ,1l. ..1�'J...r..._,r.. .. ..e BUILDING '5 0r/A &-�Ez ___ Part of Lot Addition or Sub -Division . / — Setback - M deyard l v— v, Foundation Elevation TION OF 1�r-/ Est In consideration of the issuance to me of a the proposed work in accordance with the descz ordinances of the city of Fridley. Sq. Ft Sq. Ftv 0 be Completed Cu. F1 Cu. Ft � '0 J t to construct a building described above, I agree to do above set forth and in compliance with all provisions of In consideration of the payment of a fee of $ , 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 violation of any of the provisions of said ordinances. Building Inspector NOTICE This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name. Address Wl%/�'M LOCATION OF BUILDING No. �,J, I streef�v� Part of Lot Lot. / Block . �Addition or -v. 4Z�� . Corner Lot Inside Lot_2 _ _ .Set Back J� � � Sid'q - Yard SEWER ELEVATION ` Gg� FOUNDATION ELEVATION �© Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be �used as: Frost �® Depth Height Sq. Ft. Lo Cu. Ft. ®� nv%+h 57- -7 Haight !cam Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed_4 —. 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 corm ,> (A Schedule of Fee costs can be found on the Reverse Side.) - Q_G Ca v Application for Power Plants and. Healing. Cooling, Ventilation..Rehigeral'ion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, L Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ..... .......... I....... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ............. Repairs & Alterations each add. $500.00 ............. - STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam...... . Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water ................. . Dept. of Bldgs. Phone SII. 4-7470 Locatlon City of Fridley: 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 representations stated in this application are true and correct. Fridley, Minm D!e F- 19 Owner s - Kind of Building- i Used as CN'Q Y -V *-. To be completed about 8.00 $ Estimated Cost, $ 8.00 $ Old—N�. Building Permit No. dk-_� Permit No. z' eds o 2.50 $ 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixturese ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM P� kLTERATIONS & REPAIRS TOTAL FEE $ BOUGH FINAL HEATING orPOWERPLANTS—Steam, Hot Water, Wa -No to Trade Namp �J i� -� C Size No i�111® O �A Capacity's �0 ® Sq. Ft. E.D.R. BTU H.P. Total Connected Load _� Kind of Fuel C� _ BURNER —Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Sonar] By ,j-42 2N 7-59 Business Phone No He - - �. 1 8.00 $ S 2.00 $ _ §.00 $ 5.00 $ 2.50 $ Dept. of Bldgs. Phone SII. 4-7470 Locatlon City of Fridley: 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 representations stated in this application are true and correct. Fridley, Minm D!e F- 19 Owner s - Kind of Building- i Used as CN'Q Y -V *-. To be completed about 8.00 $ Estimated Cost, $ 8.00 $ Old—N�. Building Permit No. dk-_� Permit No. z' eds o 2.50 $ 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixturese ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM P� kLTERATIONS & REPAIRS TOTAL FEE $ BOUGH FINAL HEATING orPOWERPLANTS—Steam, Hot Water, Wa -No to Trade Namp �J i� -� C Size No i�111® O �A Capacity's �0 ® Sq. Ft. E.D.R. BTU H.P. Total Connected Load _� Kind of Fuel C� _ BURNER —Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Sonar] By ,j-42 2N 7-59 Business Phone No He - - �. 1 6k - City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK��� dJfi Number, Kind and Location of Fixtures I'o�fion -� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: d3 .Lj Number Fixtures ....... .............. Z Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x W W • P ` WATER HTR. N GAS ELEG $ Lf 0 x $ GAS FITTING FEES: NO. 'ooVZ 1st 3 Fixtures .......................... x $1.50 $ �p x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd — 4th • Future Connection Openings I Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 0. RATE TOTAL Number Fixtures ....... .............. � x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... x x 3.25 2.00 $ Lf 0 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 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 ................................................$ TOTAL FEE n City of Fridley: 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 representations stated in this application are true and correct. Fridley, Minn �' J 14 19 40 �JY' "r Owner Kind of Building Used as To be completed about ®c Estimated Cost, $ & Old—New. Building Permit No Permit No. i Signe By Business Phone No ate' ROUGH FINAL 42 2M 7-59 • City Fridley, Y, Minn. idle BUILDING PERMIT N® 7489 Date: _ May 22, 1965 Owner. Al Heig Buildei atter Citr Garage Builders Mt 3VT Sr. ..-s-x--lr�;-;- Address Address LOCATION OF BUILDING 6111 5th St. N.E. No. Street _.. ..� Part of Lot Lot — 21 —_ Block 2 Addition or Sub -Division Uplander 2nd Addition Corner Lot Inside Lot — Setback __- Sideyard Sewer Elevation _ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height — Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. ____ Cu. Ft. Type of Construction Fst. Cost _ 2a 000 To be Completed Repair storm damage to house & garage 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 compliance with all provisions of ordinances of the city of Fridley. 7 In consideration of the payment of a fee of $ 10.00 , permit is hereby granted toter City Garage Builder 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 ordinance. • NOTICE: Ibb permft does net corer the construction, butdlation for wiring, phmbing, gas hating, ewer or water. Be ane to see the Building Inspecter for separate permits for these Mena: OWNER'S NAME APPLICATION FOR BRING PERMIT CITY OF FRIDLEYO NNESOTA r LOCATION OF BDING No. Street Part of Lotn,. Lot Block Addit.ibir or Subdivision ✓� Corner Lot Inside Lot ;_„$etVa2k Sia Yard SEWER ELEVATION FOUNDATION ELLVAtION Applicant attach to thi-A form, Two Certificates of.Survey of Lot and proposed build- ing location drAwn on these Cattificates. Tn be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. _ Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated cost _To- . be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to iso all work in strict accordance with the City of Fridley Ordinances and rulings 4f the Department” of Buildings, and hereby declares that.all the facts and representations stated in this application are true and correct. DATE "11 Schedule of Fee Costs can be found on the Reverse Side). FIRM STAMP FORM NO. 155 - THE BLACKBOURN SYSTEMS, INC., MINNEAPOLIS S. MINNESOTA CONTRACTOR'S JOB COST ESTIMATE FORM-NO.155 . Name A A Phone r6 o a Date Street o City State Location of Job Sheet No. Estimator Checker Estimate No. Terms Cost Basis of Bid Plus Definite Bid Other Job to be Commenced To be Finished Description of Job qI'° QUANTITY DESCRIPTION MATERIALS - EMPLOYMENT UNIT LABOR PRICE HOURS RATE EXTENSIO NS TOTAL P p .. e a � � r TOTALS FORM NO. 155 - THE BLACKBOURN SYSTEMS, INC., MINNEAPOLIS S. MINNESOTA SUBJECT PERM) City of Fridley 13139 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. r 1 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ' CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 812-580-3450 910-F15 11_1 1_7r JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION - SEE ATTACHED DESCR. :::1 I 1TION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. LINDGREN INS, & ROOFING, 5006 71AT AVENUE NORTH 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 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. SHINGIM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 1 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 500 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFO ANCE OF ONSTRUCTION. $5.00 PLAN CHECK FEE TOTALFEE -1 5.50 SIGNATURE OF CO ACTOR OR HORIZED AGENT (DATE HEN PRQPERLYAI/ALI� HIS IS YOUR PERMIT 8=13-75 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) • 'APPLICATION FOR RESI'DE'NTIAL., ALTLItATIOIV, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OiJN R S NAriE : �� r/ h= �'c� BUILDER : G� � 4/4 ��� •tom �yS d . r�� /We ADDRESS • lr� �/ l`'�' ADDRESS : STREET: I.OT: BLOCK: `�- ADDITION: CORNER LOT: INSIDE LOT: SETBACK : SIDEYARD: .Applicant attach to this form n-io Certificates. .-%f Survey .of Lot and •proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic.Feet: • Front:- Depth:. Height: Square Feet; Cubic Feet: Type of Construction: ��� ��� � �(E 4Pod� Estimated Cost • TO -Be Completed: -3 The undersigned hereby makes application fora 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. • HATE: e Is/--,) SIGNATURE (See Reverse Side For Additional Information.)* Effective Aug. 1, 1981 CITY OF R iULEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner Gas Piping (piping needed with now furnace) Gas Range Gas Dryer Air Conditioning [all sizes) RATE $_!0_-0—Q $ 10.00 $ 10.00 $_10-00 All Others/Repairs and Alterations It of Value of Appliance or Work COIIIMCIAL/INDUSTRIAL It of Value of Appliance. or Work $ 10.00 State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp. ,'j -k Date Approval for Permit ° ., 9 MINIMUM FEE FOR ANY. HEATING PERMIT IS 5+10.00 PLUS $.50 STATE SURCHARGE TOTAL $"Y).UL� $ c). rn S $ $ $ yry.50 $ l Attach stack verification fors with replacement furnace permits Job Address C P i i I 5+h ' ' -,S+ • t \! - Department of Buildings, 643'. university Ave. N.E., Fridley, MN 55432 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. Fridley, Minn. Lo-tl ,6� , 195,2 J RIND OF BUILDING "4 Y ( . rl' V ® USED AS C% � Al X ,P 1 TO BE COMPLETED ABOUT AT ® �✓S � �� f ,!`� ESTIMED COST `W OLD - NEN BUILD=G PERMIT ND. PERMIT So. �(S DESCRIPTION OF FUANACEAMMER HEATING or POWER PLANTS, Stem, Not Nater, Mars Air- No. c Trade Name cn - A �n r 1 rnQ,,— size No. ( )(-,X I OS Capacity /(J�Y_— �!• Ft. EDR BTU (1�)Q SP _-- Total Connected Load Rind of Fuel BURNER - Trade Naso Size No. Capacity Sq. Ft. EDR BTU HP I CITY OF FRI DLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FOR14 MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION DATE OWNER J&J ADDRESS (m I I 5�9, f--4. N. r_— The The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Ho foreign objects are lodged within 4. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU /C) �. All Other BTU TOTAL ll? , r C REMARKS _ � ,�I ,� r�i� ►��n�� J�� ► �1,� � „' '� Ir.Isla ZIGH HEATING PERMIT SIGNED Licensee by ► 4 Address[`i1 Telephone Fridley City License CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR ` �:.•,.: ., ` ash Floor PLUMBING FIXTURE RATES: NO. }} Gas Water Heater , .?.« Stories Urinal .:$t•':E�� ,r..Autc. %Tra Shower DualnWasher ••y $ 4:00 specified agreeing to do all work in strict accordance with the city codes Range Gas ElecI :'?ei.'A.,2F:;++2` _ Basement Blow Off Basin e"'A' ::{e:. 'ey$}ii•:{:::•.; and representations stated in this application are true and correct Catch Basin Rain Water Leader $ 7.00 $ 7.00 Q� r L , 1994j Sump/Receiving Tank. $ 7.00 Water Treating Appliance 'tiff:;:%:';•:; Owner % Water Heater —Electric ✓:.\ v Floor 1 '2{}•i•2 :{,+:e.:{•... • :::ti•: ee,+.. ..Yo,<"� $'10.00 Gas. Dryer $.10.00 xa{• Floor Back Flow Preventer Required ( )Yes O No , Type 45.00 PLUMBING COMPANY Reins pectlon Fee $30.00 SIGNED BY TEL N0.�- d �� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of value of Fixture or Appliance Floor 3 ••d i4`+�'` Approved By Rough—In Date Final Date State Surcharge $ .50 � MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE ..,.:✓:ri<: Floor 4 <if �iiiiii•.22;:i::: ::iy�:2 i ` V PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4:00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct Catch Basin Rain Water Leader $ 7.00 $ 7.00 Q� r L , 1994j Sump/Receiving Tank. $ 7.00 Water Treating Appliance $10.00 Owner % Water Heater —Electric $ 7.00 Water Heater— Gas $10.00 Building Used As Gas. Range $'10.00 Gas. Dryer $.10.00 Estimated Cost PERMIT NO. P/63 Back Flow Preventer Required ( )Yes O No , Type 45.00 PLUMBING COMPANY Reins pectlon Fee $30.00 SIGNED BY TEL N0.�- d �� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of value of Fixture or Appliance Approved By Rough—In Date Final Date State Surcharge $ .50 � MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE SUBJECT T NO. City of Fridley 31811 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. `L----- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ����®�� 1 � � NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY U432 IL ----A. 612-571-3450 910415 5/11/01 JOB ADDRESS 6111 5 Street' NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 0 = David Agustino 6111 5 Street NE 763-571-7180 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 B USE OF BUILDING Residential 7 CLASS OF WORK Cj NEW O ADbITION O ALTERATION O REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Construct a 16' x 16' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations SEPARATE PERMITS 454.0002 REQUIRED FOR: REQUIRES BY LAS' PLUMBING ANDnSIIGGkS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2,816 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1'40 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 $ PLAN CHECK FEE ONOTAL FEE $87 7 SIGMA ruRE Of CONTRACTOR OR AUTHORIZED AGENT IDATEI I PERL A ATED TH IS Y UR PERMIT 0000 �o _oz NATURE Oc R IDATEI BLOGP gArt NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Effective 1/1/2001 (763) 572-3604 Bldg Insp Tel. # w Contractor: mV15— J MN LICENSE # Address: Tel. # 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 I Width Height Sq. Ft. Construction Type: /v% o d Estimated Cost: $ -//& Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 0 ( APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ - o Fee Schedule on Reverse Side $ c� % ®k .001 of Permit Valuation (1/10th%) $ 1,410 $.50/$1,000 Valuation $ $1150 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 [ ] $ 87,'Y MINDEaRNGiNEERING CO..9INC. ENGINEERS AND SURVEYORS LANO SURVEYING CIVIL &, MUNICIPAL ENGINEERING SOILS TESTING LANO PLANNING 6418-5r.Tw AVENUE N. MINNEAPOLIS 27, MILAN. KE T- 3637 �UKVL. F-0 TOM 3ILVI' LOT21 B '-.'K. u llf— Lo&l\, 1 d D Ni -' ` I WE HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. DATED THIS My OF 4. ov. MINDER ENGINEERING CO., INC. A.O.H59 E N (i 1 N E ia✓6 AND Soo / "ol pQ s -00•'15 uvgq. ss®T eq Z-uotq-0eS uT q%aoj 109 ss '�T=Od Buie -'OJ P92% xlo eej elq% Tis eavo Ou uI 69'z I � I r f 15- , 1 O in • I 1 V LOT21 B '-.'K. u llf— Lo&l\, 1 d D Ni -' ` I WE HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. DATED THIS My OF 4. ov. MINDER ENGINEERING CO., INC. A.O.H59 E N (i 1 N E ia✓6 AND Soo / "ol pQ s -00•'15 uvgq. ss®T eq Z-uotq-0eS uT q%aoj 109 ss '�T=Od Buie -'OJ P92% xlo eej elq% Tis eavo Ou uI 69'z d IL rb do J;z. i // / /0 A/ is I Apbse &71.4le jo&C-44�E 0�0/ (to I 6ne. quor -kr- &,c, ! / Geams 4--Yot�4�, - ;Lx 3 - 16' Leler Eo'c,-f-j poll LA x p"'i, I: � 5 po SIS : 14 1 ,S�/ ��Ffio�_ �pE MAX $ `�'1�' v /003.73.3 9� _71 MR. 'PLAN APPROVED' SUBJECT TO FIELD HNSPECTION ILA/err w st SUBJECT City of Fridley 219 2 3 AT THE TOP OF THE TWINS r ? BUILDING PERMIT hS.E*T_N1a_ I COMMUNITY DEVELOPMENT DIV. ` _ L PROTECTIVE INSPECTION SEC. (JJ( NUMBER REV. DATE PAGE OF AP OV D BY CITY HALL FRIDLEY 55432 �""� 612-571-3450 910-F15 6/21/93 JOB ADDRESS 6111 5th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Kim 6111 5th Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Exterior Design Service 6321 Monroe Street NE, Fridley 55432 571-3220 3237 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside, Reroof, and add 11asulation in Walls 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd, Install adequate attic ventilation, Install smoke detectors per URC 1210 - adjacent to all sleeping areas and in basement, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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. 1 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 $4, 500 $2.25 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 PROVISION ANY OTHER STATE OR LOCAL LAW REGULATING CON- $72.O0 Fire SC $4.50 TRUCTI R THE P FORC CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $83.75 SIGNATURE OF COWrRAafORO UTHORIZED AGENT IDATEI WHE�ERLYLIDATED THIS IS YOUR PERMIT BL G DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW t] ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6 / / / !� � __— IM . . . . . . PENN L LIVING AREA: Length GARAGE AREA: Length DECK AREA: Lem& Effective 5126/93 Tel. # MN LICENSE # 1740 , Tel. #.S>/ -3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ff"ROVEMENT Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. so. Ft. OTHER: e Si ,6 t J�'t:,I � ZotiSe —7 a ° ((.c)AL-S Corner Lot [ J Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Tom, Type of Construction: Estimated Cost: $ S � Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ` �(� 1 3 APPLICANT - Tel. # Permit Fee $ v L) CITY USE GNU Fee Schedule on Reverse Side Fire Surcharge $ 5( .001 of Permit Valuation (1/10th`) State Surcharge $ �?. �Sa $.501$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ . C $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ) TOTAL STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-01506 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 5"%L -36U4 VAX: 17631571-1257 ADDRESS : 61115 ST NE PIN : 143024340071 LEGAL DESC : UPLAND 2ND ADD : LOT 21 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER AGOSTINO DAVID W & STACEY E 6111 5TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. SEP -12-2005 13:33 CITY OF FR I DLEY w P.01/01 Building BUILDING Permit No. aol-C- 9. 3 Inspections RESIDENTIAL APPLICATION R=ived By: 763-572-3604 CITY OF FRIDLEY Date Ree'd: DATE YOURE-MAIL ADDRESS SrrE ADDRESS 11� �' nUS APPLICAM 0: D OWNER *ONI7atA=R FRO'Kat OWNERI �t OD ADDRESS: = CrrY _ ATE ►� 32 TENANT PMCINvE� n 3 I - I SSBI CON1<'RA.CTOR STATE LICENSE!/ IV DA'M SUBIv1TT a COPY OF YOUR STATE, LI ENSE ADDRESS: WITH APFLI%ATION pxc)IgE FAX 2'A�ClI'ER:1'Y TYPE=JGLE FAMII.YINEW CCN 4 SIZE— C TWO M"Y/NEW Ci}NSTRUCTION STO FERAir r TYPE 0 ADL)MO� r 0 GARAGsZHEDVQw 0 BASlSMEZ4T FINISH 0 ROOF 0 DRAW 77LE 0 DECK O SIDING 001M 0 SWDoemGPool, T -k PE OF WORK: D ADDITION 4QTrgNJANCES/RUAIR 0 M40DELLNG DESCRIBE WORK BEING DONE: SIz OF isVROVEMENT'LENGTH WIDTH HEIGHT Sq. FL G 0 HOUSE ONLY NUN iBER OF SQUARES ® HOUSE & GARAGE � D ATTACHED GARAGE 1. _ 2. Pm twigfsfl= plan PROPOSED SIZE: D DETACM GARAGE 3. List ofstr mv2ll ambers to be used FROPOSBD IiEJ T: MQUIG FOR NEW CONSTRUCT70N INCLUDING DECKS, 0 vinyl ®Sof(h DDMUNS, a i Q.&Q Q 5LJ #h: 0 alum •0 Trim 1. 8b P)M&nM S tie a sEnt�trm 0 Other Cl poda Iced proposed p74ect. 2. Two sds a4' noaft+xtim plm IN' Q OFE I)NCdS�ds ON, LOCATION OF WINDOWS 3• �N C,elauleRlnns OR FOR NEW OPa4INGS-DESCRIBE SIZE OF OPM4240 CHANOBS & dWb� �n�n LI T'Y'PE OF P��a' TO BE 1NSTAL.LER NUUSZA OF WDZDM ALL FEES oUa UASED ON VAEUAv- VON, I"NCLUAM; THE COST OF LABOR AND MATERLU S: kUSLNG '11HL 1997,U.B.0 M SCHEDULE) TOTAL JOB VA-LUATION S X170 L-! „_OCCUPANCY TYRE Pa„gat &4 i (/ oC 5 See Back Page for Fee Schedule Plan Review S 65% of Building Penult Fee Su clxgc S (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuafion (1/10%) License Stu bmv 3 $5.00 (State L'lcenaed Resided Conttlam) SAC C.liarga $ S 1450 per SAC Unit (Plans to MWCC for determbmtion) Curb Cut Escrow $ 9t+ 613 n ft x $20 - S Erosion Control $ $450 ConserTation Plan Review Park Fce $ Fee Determined by Engineering Sewer Main Charge $ �. Agreement necessary ( ) Non Necessary ( ) Total Due s _ Xake checks Davable to: City of Fridley Attach Stinutations THIS IS AN APPLICATION FOR A PER T -NOT VALID LWrIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be itr conformance wlth the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a P=ak but only an applicaLiou for a permit and work is act to start without a Pamit.; that than work will b® in accordance with the approved plan in the CM of Q wo* w” ragatires reviow andapprml of plans.I 01. —% _ SIGNATURE OF APPLICANT �I TOTAL P.01 2o 4-Y,4p j Effective 11112001 CITY OF FR DL -E -Y (763) 672-3604 Bldg lnsp ;R f 1 SINGLE FAMILY AND DUPLEXES P,4 AND R-2 BUILDING PERMIT APPLICATION struction Address: :al Description: ter Name &Address: 5 Tel #_ 'i l�� •� , 1 �� tractor: t. hflN LICENSE # n CO ess: I atue �1- Tel # f X214 ySS� Attach to this application. a Certificate of Survey of the i^* with the or000sed construction drawn on it to scale. DESCRIP'noN OF III movewNT NG AREA: Length Width -- Height Sq- FL CAGE AREA: Lerma Width I-I�:ight Sq_ FL :K AREA: Length V%hdth 8 tgtlGround Sq_ Ft IER: struction Type= ri C Ch `Estimated Cost ewray Curb Cut Width Needed: Ft + 6 Ft = —Ft x S Tel -S 16 E: 05 APPLICANT_ USE ONLY - Call (763) 572-3604 fop Permit Fees if nmU'n9 in application mit Fee '5__�_ )� F S_jee Scheduie on Reverse Side 3 Surcharge .+001 of Perr, int valuation (1/10th%) to Surcharge $ $-50!$-j,000 valaiation C Charge$1 150 per SAC Unit ctors) ease Surcharge $ S.0y $5.00 (State licensed Residential Contra c&"A!, or Alt =°gu eve veway Escrow $ tision Control $ b450.0(3 Conservation Plan Review Fee Deter pined by Engineering rk Fee Agreement Necessary [ ] Nat Necessary � l wer train Charge $ ,ZS TOTAL - ILATIONS.