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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N.0 2509 Date ...... ''�i!!�Z f !�"� T r?� + Builder ...... '. Owner ..., VZ.4�t. .. _ ... ................ �„ Address ........�. ... Address ......................................... LOCATION OF BUILDING II �• �C �c�.�rr No. Street .......................!rs•.:. Part of Lot ....................... Lot .............. � . Block ..............,...." Addition or Sub -Division ....................................... Corner Lot ...... Inside Lot .... ...... Setback Sideyard ........ ! DESCRIPTION OF BUILDING To be Used as: Front ..� . Depth 'T?W?.. Height ......... Sq. Ft. Cu. Ft........ . ..................,..Front ........ Depth ........ Height ......... Sq. Ft......... +Cu. Ft. Type of Construction L ... ....�',....Est Cost .... Vo!W . ....... To be Completed ..1� .. . I � , In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work to accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ----- - .a ..... ........ I ......... �ry . . ,...... . „ i con' i a ion 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 con on that the person to whom it is granted and his agents, employees and workmen, in all work done in, around an4 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 limit'and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,") ... . v ............X�_ .I.....Building Insneetor NOTICE: This permit Ildoes not cover the construction, insta Ilatlon 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, Minn. BUILDING PERMIT N° 5 3:8:3) Date: �4f � Owner: ;;-% ' '• _ Builder Address Address _....-46A.�' LO 1 N OF BUILDING No. Street _ , Part of Lot Lot ---- Block Addition or Sub- on Corner Lot —__-_..____.- Inside Lot" ,hack Sideyard Sewer Elevation ____ Foundation Elevation — DESCRIPTION OF BUILDING y To be sed Front Depth Height Sq. Ft Cu. Ftp,,—'�" Fr on Depth Hit .-. Sq. Ft. Cu. Ft. Type of Construction ,,e�� Est. __ 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. In consideration of the payment of a fee of $ ;E — .-.____., 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 thcity limits and this permit may be revoked at any t pon�vi�olation of the provisions of said ce& uilding Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to sea the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING FROM CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING r L� ?� No. �-street V CL4 Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Sotback Side -Yard ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING Sq. Ft. Z � C Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. 00 Tye of Construction__�;2�eN Estimated Cos . To be Completed The undersigned hereby makes application for a permit for the work herein specifiedp agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that.03,,l the facts and representations stated in this application are true and correct. A �—/e, / CT,)P -7�— r.WemTTRli Ik..A r. I - (A Schedule of Fee Costs can be found on the Reverse Side.) TO City ®f Fridley `d App9carim for FWWAnq and G n ftftg rwm* Dept. of Ridge, Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures O / d leas 2sd T 3r 4th --- - TL--- L u2ure Connection Openings New Fi3dure, Old Openings U' WATER HTR. City of Fridley: aZ °'� �Z® ® — o g < 3 0 u $ v N cAs ELEC. 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 ap 'cation are true and correct. 0 f - -- -- - Owner ��'�/✓��, PARTIAL RATE SCHEDULE Kind of Sewer ❑ Used as cesspool n PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $. New Fixture Old Opening x $1.50 $ Catch Basin x $3,25 Water Heater (Up to 99,000 BTU) .. x $3,00 New Ground Run Old Bldg. x $3,25 $ Electric Water Heater = .$200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .. ........... x $200 $ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ To be completed about Est' ated Cost, $ 6&ew. Building Permit NO.-- Permit No. -0 Signe By-. Business Phone No �� ROUGH FINAL Origin Permit for PLUMBING AND GAS 9TTING N? 5095 -# J,,;-3 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., F� $ L® 0 DESCRIPTION OF WORK II Number. Kind and Location of Fixtures Stories W W < 0 < Z € m Z m M = m Y F' z zW O Z O = Z f ?� z M C W z WATER HTR. OAS ELEC. V 7 m t a m Z << rc 0 3 �- � O D LL S p) J LL O m a a U m Q K -J m K 1 4 m aG, O a 0 a QQ e C Basement 1st 2nd 3rd 4th Connected with Sewer-C.Iesspool Gas Piping for Openings Permission is hereby granted Ali AJ LA.2 4 do the plumbing and gas fitting in the building described in the statement hereto attached, on the express condition that the person to whom this permit is granted, and his agents, employees nd workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date City of Fridley n aA-"—V � 16—'19-9-0 Owner / Location Kind of Building /}A4% -Q Used as To be Completed 7 r 1 WtZAd , 1910 Estimated Cost $ /% ' 0 Ol - ew. Building Permit No. Date inspector. Inspector of Buildings. az JM -6.69.V 1.--v 5 SUBJECT P NO. City of Fridley 15 8 8 t AT THE TOP OF THE TWINS BUILDING PERM4T - r RECEIPT NO. � L'______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 8/15/80 JOB ADDRESS 7566 -5th St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Platen 7566-5th.St. N.E. Fridley 55432 784-6034 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add on a 16' X 241 additon to the garage. 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R-1 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 BE COMPLIED $ 3,383.04 $1.61 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.36 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $16.97 SIGNATU,REOFCONTRACT -OR UTHORIZEDAGENT (DATE) W PROPER I T T I IS YOUR PERMIT • r �_ / DG NSP GATE Cd SiGNA URE OF O NER IIF OWNER BUIL OE IDATEI 1.--v 5 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions', or Repairs) ADDRESS: 1SWO •�f TEL NO: BUILDER: . 01^5,"V" ADDRESS: TEL NO: Construction Location STREET NO: STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside. Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION f� f �&4 Front: r Depth: Height: Square.Feet: Cubic Feet: Front: Square -Feet: Depth: Height: Cubic Feet: Type of Construction: Lszs,r® To Be Completed: a vi Proposed Driveway Width I£ New Opening Is Desired: Estimated Cost: $'�• Alt. A Alt. B SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a 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 aj-,cpv4t.\ip� MIX V - " ' ' " , '11 Stipulations: City of Fridley SUBJECT ---P ® 18 513 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. `----� � CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/25/86 JOB ADDRESS 7566 - 5th Street N.E. I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Flaten 7566 - 5th Street N.E. 784-6034 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 USE OF BUILDING Residential 7 CLASS OF WORK C C3 NEW Xl ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 8" Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS Alter garage wall to provide firewall. Change service door in garage. Porch can not be heated until it meets the State energy code. Ties new gooting into existing basement wall. Befo a 4J?Af1 r1irpho, ""19 call �. 1. SEPARATE PERMITS 1 �FQE�E��Cl'Rfeai`tlliro� WIRING, HEATING, PLUM UIRQ FOR�FQF �slc NG AND SIGNS. y �4 kV 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 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 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 $2.48 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,950 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- $50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $12.63 $65.61 SIGNA UR:EOF ddNTRA OR THORIZEDAGENT (DATE) • WHEN PROPER L A DATED THIS IS YOUR PERMIT S G �� -SIGNATURE I5FFOWIZEROF OWNER BUILDER) MATEi BLDG iNSP E NEW [ ] City of Fridley Effective 4/1/86 ADDN. fR-1 AND R-2 ALTER. ( ] Building Permit Application Construction Address: `1.� 4 N�( Legal Description: 2 gu_'y IJ Owner Name & Address: �rN (- L�ST Tel. `6 Contractor: Sc, Lt Tel. # Address: LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length 7 1 Width Height Length Width Height DECK AREA: Length Width Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: \rj Doe\ Approx. Completion Date: Sq. Ft. cy Sq. Ft. Hgt/Ground Sq. Ft. L/ q6,), ( CJ Yard Setback Estimated Cost: $ At '3� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge 41) f" CITY USE ONLY Fee Schedule on Reverse Side 2% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: °j � - o AI V� c N t .�/ N e-7 = Q G ^ %/1 e , � r LA Ik rG 1. ry • 4 IL I iA �q OAK 6, c �° `&- sw r � 4 E L -agvnvo I 6. dWN L -agvnvo I 6. NEW [ ] CITY OF FRIDLEY C-� - 00&;0 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: 6V- ©c k Tel. # 7 6 - Z Lk Contractor: S z l -�- 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 Width HgVGround Sq. Ft OTHER: LA SIP_ t o ✓ rr'4 % L-L�-7 _ Construction Type: rev 2. -&S w ' Estimated Cost: $ 2 9 5 a - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $. DATE: 3 1 'I- ©S APPLICANT: La ww I W L-0 (,-"- ;1 } Ze r Tel. # 16 z 4 S I z LA S` Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ _�S Fee Schedule on Reverse Side $ -- 65% of Permit Fee $,—Z, .001 of Permit Valuation (1/10th%) $ , 7 $.50/$1,000 Valuation $ $1450 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 [ J $ 10'9-33— STIPULATIONS: