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PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT N°V4 856 Date: ........... -' ... °"�' _ ____.v .�r+ Owner: _.. _.._... _ Builder ...__.... _ ._ _..* ... Address ....._.......------- Address //)......_... f _._._.__._. w._._..._._...._ ..__.._....._ s. �I ..� O TI O UILDING No..... ... - ./ Street .._.�. _.. � ........ :.... ....: �..4 ...... ::..__: Part" of Lot ..... ...._...._......._..._. ..... ............._......._ _.. Lot -----._...a+.•----. Block ..... -- ......... ................... Addition or Sub-Divisio _. _.........._ Corner Lot ..... ........ - .................... Inside Lot - ..........._................. Setback ..-J.-P.---....._...._........ ideyard ......`..._..__............._...........---..__... Sewer Elevation....._............._........_...__..........._.........._._............................_........ Foundation Elevation - ........................ ........... ................................................. _.. DESCRIPTION OF BUILDING To b . Used as _ /? -•• •---.:.._._.:------.....: Front _�_. Depth .... -___ Height ..--- Sq. Ft. ._. Cu. Ft........ _.. _. ...................... Depth ....._.............. He' ht ......... Sq. F't...... _................. Cu. Ft....................... Type of Construction Front .........._....... ..... _.......... . Est. Cost�':,yf' :..._ .:................ To be Completed ............ _.................. ................. CAUTION THIS PERMIT DQL; jaAUTHORIZE VIOLAT- ION OF ANY P,,i A FE LAND BUILDING RESTRICTIONS, COVENANTS AME) 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 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 v�,olati n� ny of the provisions of said ordinances. f ) /`/ 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. 4 � _ r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners. Name PA 4Si5M f'WS Builder orn4-4- All,' Address Address 6;? - LOCATION OF BUILDING No. -Z Street s� Part.of Lot Lot Z Block• `fir Addition or Sub.Div.. Corner.' Lot . Inside Lot-.2!LS Back Side -Yazd SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION BUILDING To be, sed as : b cP Front Depth 9 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 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 statedint 's7,1 - kation are true.and correct.: DATE . / . SIGNATURE (A Schedule of Fee costs can be found on the Reverse -Side.) o Yoe., ICCity of Fridley A pplication for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK Location 4�/"/ Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 0.0. RATE TOTAL Number Fixtures x $1.50 $ l! Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TO�TA/L� 1st 3 Fixtures ..........................�_ x $1.50 $ Z Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ a� TOTAL FEE $ City of Fridley: I The undersigned hereby makes application for a permit for the work herein specified, agreeing to do an 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 true and correct. Fridley, Minn 1 Owner Kind of Building Used as To be completed about 4 �a Estimated Cost, $ Building Permit No ? "� Permit No. ej ROUGH I — FINAL 42 2M 7-59 Signed B z Business Phone No ` ��, u1 Y � Z � ?1�f w a ? �O • R • N WATER HTR. GAS ELEC. Base . 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 0.0. RATE TOTAL Number Fixtures x $1.50 $ l! Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TO�TA/L� 1st 3 Fixtures ..........................�_ x $1.50 $ Z Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ a� TOTAL FEE $ City of Fridley: I The undersigned hereby makes application for a permit for the work herein specified, agreeing to do an 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 true and correct. Fridley, Minn 1 Owner Kind of Building Used as To be completed about 4 �a Estimated Cost, $ Building Permit No ? "� Permit No. ej ROUGH I — FINAL 42 2M 7-59 Signed B z Business Phone No ` Application for Power Plants and Heating, Cooling, Ventilation, ReMgerution and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 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 ............ 8.00 $JQ each add. 80,000 BTU .... . .................. 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations up to $500.00 `...:e ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water . . ............. — 2.50 $ 0I1. BURNER—to 3 gal. per hour ........................ 5.00 $ i over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTL) ....................... 5.00 $ Dept. of Bldgs. �Pyhone SII. 4-7470 1 Location Q ` k 6'05 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 -(56v 19 jpz Owner —Na TYO l 10 I's Kind of Building J Used as —Res i To be completed about Estimated Cost, $ Old—New. Building Permit No. 3�d=� Permit No.� oZ — DESCRIPTION OF WORE HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No t Trade Name IP—N 6 Mn Size No 199 ROUGH FINAL (REMARKS—OVER) By. X42ZM 7_s9 Business Phone No Capacity Sq. Ft. E.D.R BTU VCY4 a(T� H.P, GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $_ Total Connected Load �� Kind of FuG Additional Fixtures ................. x .50 $ BURNER — Trade Name ki Size No Gas Range to 200,000 BTU ............ x 2.00 $ Capacity. Sq. Ft. E.D.R BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE 5 Signed ROUGH FINAL (REMARKS—OVER) By. X42ZM 7_s9 Business Phone No f: 1 A8 034JJH0 — -•— -- - -- - - 31 VW I I S 3 3 � "--- •---- - -- - � _ �_ -- --�- - 7 N 1'01 - Ai aH7oW -- _, NVN ---- w�a l� _ _ -- �. _._:_..._ .� . _-� L d l ►lb j —� - :1SNp�'Ulp •-_ •._-.. Nl;�ilW ---_ lit,+ 4 '--.-__ 'HI r._..._.. __ __1,--------• --��_._. :a J, Q 3ZIS --� �- i C__ry - __ _- M19031 lOd3ala —1 �I.2. I VMW M9.410 w _.._.._. 3►tQHd OY 3S SS3apar Original . PERMIT for Power P ants and Heating. Cool- ing, ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make , size— S Oil fired—, Coal fired—, Gas fared ; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector Permit N° 4390 Fee $ /©, Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. • ! , 19,0 Owner Location Kind of Building r How Occupied Work to be Commenced—, 19— To be Completed �v I ,19-4 Estimated Cost, $ 0-0 Old -New, Building Permit No. Permission is hereby granted to mob` I L'Q . to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condi ' n that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the spec�pcations set forth in the approved application for this permit on file in the office of the Inspector of Buildings. . 14 , Inspector of Buildings 42 2MIWV Application for Power Plants and Healing. Coding. Ventilation..Re rigmatind Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 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 ............ 8.00 $ each add. 60,000 BTU .....a .................. 2.00 $ Replacement of Furnace ............................. .§.00 $ Repairs & Alterations—up to $500.00 ... ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM 5.00 $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 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 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ ld AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $�-" ALTERATIONS & REPAIRS TOTAL ROUGH FINAL Dept. of Bldgs. Phone SU. 4-!!470 Location t/o l yf ' -�V_ 6 " 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. Minn_ 19 Owner �- Kind of B ding Used as &�,Lh To be completed about (-6,9 p0 Estimated Cost, $ 600 `0 ld New. Building Permit No. Permit No. % DESCRIPTION OF WORK HEATING or POWER PLANTS --steam, Hot Wates, Warm Air—No Trade Nn P Size Noo- Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity. (REMARKS—OVER) az 2M 7-59 Sq. Ft. E.D.R BTU H.P. City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING P E R M I T PE NO. _ 1 f265 i � • _ ____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 Rt&QELNO. NUMBER 910-F1510/24/85 REV. DATE F;PGE OF / APPgOVED BY JOB ADDRESS 6121 - 5th Street N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 2 Upland Second Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Dusfresne 6121 - 5th. Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brovald/Larson Builders, Inc. 11.61 - 79th Avenue N. E. 780-4533 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 IX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 24' by 19'11" attached garage 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5-851-20 12.93 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. p �' PLAN CHECK FEE TOTAL FEE $59.43 SIGNATURE OF CO TRAC ROR AUTHORIZED AG -ENT IDAXE) WHEN PROP BLDG INSP RL Y (DATED T IS IS YOU2, PERMIT DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW ADDN. [ ] ALTER. [ ] Construction Address: Legal Description: Owner Name & Address: Contractor V City of Fridley L R-1 AND R-2 M Building Permit Application Effective 4/1/84 / AT--) 2 Tel. # Tel . # 3 3 Address: 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 ---'-1— Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: $ STIPULATIONS: f S Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: DATE: 16k6 Z& APPLICANT: USE ONLY Side Yard Setback Estimated Cost: $'- e S��J. ®. Alt. A Alt B $ $ See Back Page for Explanation Tel. #. Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY Permit Fee .�, $ Plan Check State Surcharge $ $ q - SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: f S USE ONLY Side Yard Setback Estimated Cost: $'- e S��J. ®. Alt. A Alt B $ $ See Back Page for Explanation Tel. #. Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 26343 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECE O. __-___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. y63 7 r ✓aS 1 � i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1 612-571-3450 910-F15 6/25/98 JOB ADDRESS 6121 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 2 1 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patricia DuFresne 6121 5 Street NE 571-6382 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Homes "R" Us 7398 Concerto Curve NE Fridley, MN 55432 786-6836 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 p REPAIR 11�� ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 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 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 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 @ $.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,834 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- $59.50 Fire SC $1.83 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE r License SC $5.00 $67.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ALIDATED THIS IS Y UR PERMIT WHEN�PPROZC�6-� BL INSP . )ATE SIGNATURE OF OWNERIIF OWNER SUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �43 BUILDING PERMIT APPLICATION � 3 (03 ConstructionAddress: L Ir &F Legal Description: Owner Name & Address: I��—�2c c^c G. �a �'� es.r�� Tel. # ,!�-7/ - 63P2 - Contractor: 17 I P� MN LICENSE # dao �0�3 Z 7 Address: Z396 98 Tel. # 7 4K3 6 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: 26 11)a0'r— Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ CITY USE ONLY Permit Fee $ / Fee Schedule on Reverse Side Fire Surcharge $ J �� State Surcharge $ SAC Charge $ License Surcharge $ 5 - C`Y'O Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: .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 [ ]