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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° 5 s s Date: — Owner: Builder _---� 66&6��W- Address --- L0X4TI0bL OF BUILDING No. ' Street-- Part of t Lot j3lock _ _ Addition or Sub -Division . t Comer Lot _—_— Inside Lot _ _ _low"' Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: P > ant Depth Height AS- Sq. FL Cu. naZ-3 P +' Fro t It -Depth Height Sq. Ft. Cu. Ft. ` ghyp*efg;nstr Est. _11A 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 21 provisions of ordinances of the city of Fridley. ,r In consideration of the payment of a fee of $O 0 7 , 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. ". Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name ULt La -v 613 AI,1,1,ETAA--Aa 7 Address-?-3,5%QIP. /^ �2Gldl�f dress C C' & TWA I - LOCATION OF BUILDING No. a�..�..BStreet Part Of Lot Lota- lock Addition or Subdivision ,V5 Conner Lot Inside Lot setback Sid Yard k' e5 . A- SEVIER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Depth /a a Fleight sq. Ft. %rte Cu . Ft. Front Depth eight Sq. Ft. -, 3.4 do Cu. Ft. 14 OLO Type of Construct ion2�P��3, /y& i�-�/'}�&,, Gtimated Cost2 4160 60 To be Completed A- v G G s 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct -1 r, (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Cas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures ffi I �Zrz sZ 8O tT3z �j O?� 5113 J � 0 z �O • F • N WATER HTR. GAS ELEC. 3 (j ; `R a6 � N 00 yuu��� <� V < �� �� � Base �0 ' ® 10 1st 2nd 3rd — 4th Future Connection Openings Connected with Sewer * New .Fixture, Old Openings Cesspool M PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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) ...... 19*2 x 2.00 $�- New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... .c— x $1.50 $-2d' —" Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE + " Dept. of Bldgs. Phone SII 4-7470 Location &-216 B WS S�- 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, 19� Owner Vcc -r- Jc.i -�—evW Kind of Building 2!*4�z� Used as �Pw "—/- I To be completed about Estimated Cost, $ Old Building Permit No. y / (O (® Permit No. ew Signe By Business Phone No. 4- ROUGH s L -Z FINAL //.Z- '4� g- y -G -L- dz 2M 7-59 Original Permit for FEUMBING AND GAS FITTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DFSC1i nON OF WOMB NII umb Bd tro ead L f =—. rc Stories 3 Basement ist 2nd 3rd 4th or. as ocan o res a0 I I m l m l 3 l o i l m I LL n I v m l a j Connected With WATER HTR. � � 16A5 IELEC. Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hereto attached, up the express condition that the person to whom this permit is granted, and his agents, employees a 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 N? 5070 IFermit6 ®® City of Fridley ,19I Owner Location —j� q 0 o '7 �' C L /V -,C . Kind of Building ,IAA� Used as To be Completed Lt"30 3® , 19-429 Estimated Cost $ -,S-b(3 • U (') Old- ew. Building Permit No. Date Inspector. Inspector of Buildings. 42 iie—s.�g.v APPLICATION FOR RESIDENTIAL, ALTERATION, OR AiDITION BUILDING PERMIT CITY OF 1.1,1ULLY, MINNESOTA OWNER' S NAME • (//"cOL� y C�a�-� LBUILDER: -� 9() � ADDRESS: ��%! �1 iYcO�• ADDRESS: 5"1- NO:. s -1-6o T STREET*,, LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYAFD: Applicant attach to this form Two Certificates of Survey of Lot and proposed buildisig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �top aLtA� & 00-LIn C� - P Front: Depth: Height: Square Feet: Cubic Feet: Front• —Depth: Height: Square Feet; Cubic Feet: Type of Construction: W60d.?/ S7 -EE,L Estimated Cost: $ %Sd. °d To Be Completed: 2 11'10ti17'4S The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st7tict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ill the facts and representations stated in this application are true and c.,rrcct. DATE: a0, 1? 9,3 SIGNA1`URE: �� ��d,e�► (See Reverse Side For Additional Information.) / -74 Cha i ity ®f F�"``�lley SualIECT Permit No. q AT TKE TOP OF THE: TWINS r .4 PLUMBING PERMIT APPLICATI011 t ------i COl� MVNITY DEVELOMMENT DIV, I 1 i �FtbTECTIVt# 4tyL CTIO% MPT. i �q1 � CITY HALL FRIOL&Y WM �..._d`.e R'Sjh S4 RE PATE PAG IE OF By .J 41&-860-34" n .0-F1 0 2 15 73 1 1 800 Job Address Owner Address Phone Contractorj A ress ' Phone Kind of Building Use y Completion stimate ost rDte4 Plumbing Fixture Rates: NO. RATE TOTAL a I Number F�E,_es x $2.00 �Li cidFuture �I I Fes x "`' 3�Nval sd° I I I � I I New Fixture -Old Open. x $1.50 Ij U -lady I I ® Catch Bagin x $3.25 sY°I •X,�� Water Ileator-99 000 BTU x $ 3�•`' a , .00 'DSIW I I I � I� Ground Run Old Bldg. x $3.25 I •sa°� jneNlva� 77 I I Elec. Water Iieater x $2.00 w SNISVSJ 1! H71V7I X I I I � •$ Gas Pitting Fees: c !I •Q. 1st 3 Fixtures x $2.00.x' a i saanoHsl I I I Additional Fixtures x$ < 75 ;p.0 (� - I 'U �INIMa a° Gas Range -199,000 BTU x $5,00 to P� sAvat� �� a,svnn Re .e—ai rs &Alterations See SNNISI I I + Description: Code State Surcharge .50 I sent I II TOTAL FEE $ % SZ) The undersigned hereby makes application for a permit s,YNtanl I' I I I for the work herein specified, agreeing to do all work Sd31tl,� in strict accordance with the City Ordinances and ruling ' I U of the Department of Buildings, and hereby declare that I all the facts and representations stated in this application are true and correct. 'H e -4 c uaCqm �L _ _" c __� -S ignature Date City of Fridley SUBJECT o 1395'7 AT THE TOP OF THE TWINS P E R MI T r BUILDING ECEIPT NO. 16 COMMUNITY DEVELOPMENT DIV., I r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 3/23/77 JOB ADDRESS 5460 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4-8,23-27 9 Hamilton's Addn. To Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Udell Larson 6848 Knoll Street, Golden Valley, Mn. 55427 545-8902 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. 6 USE OF BUILDING Residential (Multiple) 7 CLASS OF WORK ❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install two security doors in foyer 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRIIING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 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 $1,000 $•50 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. $7.50 PLAN CHECK FEE TOTALFEE $8.00 •SSIuIIG�GNN//ATUREOFCONTRACTOR AUTHORIZED AGENT (DATE) WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT +' ,OR ' lei G iNSP � � ATE GNAT O NER IIF DOWNER BUILDERI IDAT 1 w City ®f Fridley AT THE TOP OF THE TWINS r, -- COMMUNITY DEVELOPMENT DIV. r 1 i PROTECTIVE INSPECTION DEPT. 1---� CITY HALL FRIDLEY 55432 � �.� 812-580'3460 BUILDING PERMIT APPLICATION --� I 910-Fll 1 1 Job Address: Legal Lot No. Block Tract or Addition Descr. Property Owner - ontractor Architect or Designer Engineer Use of Building Class of Work r Describe Workl Change of Use Frog To Address s ss 7/8/76 Zip Zip Phone Zip Phone Zip Phone IPermit No. Receipt No. See Attached Sheet Phone License No. License No. License No. ® Remove New ❑ Addition Alteration ❑ Repair Move Signature , 2 /��_ -SPECIAL ASSE55ME11.1b : If lateral assessments have not been placed on this property, an agreement ur1st be signed, agreeing to assume such lateral assessments before a permit will be issued Agreement Necessary: Finance Director Agreement Unnecessary: J OUTSIDE UTILITIES: z Sewer Elevation: Water Elevation: o Stub Location: Stub Location: W N :) BUILDING INSPECTION }P lumb int, H.V.A.C. Electrical Fire Insp. � Signature & Date Approved O Registered Engn. Stamp. Legal Description Check Exterior Devel. Check Performance Bond Check Easements, R/W, Special Agreements Final Approval Date Certificate of Occupancy Date DIMENSIONS Length: Height: Cu. Ft. Width: Sq. Ft. Accessory Buildings: Length: Height: Cu. Ft. Width: Sq. Ft. VALUATION: Sq. Ft. X Cost = Valuation ) 11asement X Cost = Total Valuation Valuation ) Permit Fey: PERMIT FEE: Commercial and Industrial Total Cubic Ft. X $2.15/1,000 Cu. Ft. Z X ALTERATIONS and ADDITIONS or REPAIRS $3.00/$500.00 or fraction up to $50,000 Valuation $1.50/$500.00 for each addition $500.00 over $50,000 (SEWER AVAILABILITY'CHARGE CSACj = PLAN CHECK: 65 percent of permit fee = STATE SURCHARGE: Valuation X $.50/$1,000.00 = PERFORMANCE BOND' VALUATION TOTAL FEE Blacktop _4.50/sq. yd. Curbing 3.50 lin. ft. Sod _ 0. so s�d. Fencing 5.00 lin. ft. Bushes and Trees 24 OC - 90.00 50% of Total value = $. Bond Fee I I I i i I ! I I I 1 I , r' -•I �I}j j 1 I �C j I j 1 VP r I j I { , , { i SA I 1j ✓C 1 I tI f I T---, - ---- -- n CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PEr#41T 14 q e y� yM� C ..Gj '�0 aD 1p U ami spy W o tP Water Beater lot 2nd 3rd 4th (R) a Future Connection Opening (*] s New Fixture, Old Opening Connected With Sewer Water RATE SCHEDULE PLUMBING FIXTURE RATES: N0. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Not Water Heater ce/o [ e /l/C& Gas Range �'�7� 9/!7' Gas Dryer ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 13 of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL S Job Address Department of Buildings 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. Mn • —'-"0 S" C--- ° OWNER gid` %� , ? C� KIND OF BUILDING 3" /^�e� �'7 -C'--- USED AS d �� "'J G= -7 Z r l "I TO BE COMPLETED ABOUT ESTIMATED OUST ®"o CTNE,Q OLD - W BUILDING PERMIT NO. PERMIT NO. v Company Signed By Tel. No. ` q •� ROUGH INSP. Date FINAL INSP. /& -/ 3 - a ( Date APPROVAL FOR PERMIT S $.So $ �� �� HINIHUN- 'ROR. ANY PLUMBING PERMIT $10.00 PLUS T E $.50 TATE SURCHARGE SUBJECT P"E City of Fridley 2 0 61 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. 16` COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. �^ r t I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/2/90 JOB ADDRESS 5460 - 7th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4,8-23,27 9 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Kmit 3158 Arthur Street N.E., Mpls., MN 7890108 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hoyt Construction 321 West 83rd Street, Bloomington, MN 55420 884-4329 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 34 Unit Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cil REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace wood sashs with.vinyl windows 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. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 34 ISTALLS 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 $25.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $51,000 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $419.00 S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 5719 Fire SC $5 00 $495.50. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHENPR VA D TED THIS IS YOUR PERMIT @. tt� -(7th SLOG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI Prepaid Plan Check $ Effective 8/16/90 Estimated Cost CITY OF FRIDLEY Receipt # R-3, CMMERMML & MEUSTRIAL Building Permit Application Oonstruction Agrees b S -L /Y L- . Zoning Legal Description Owner & Address Dewy y; s A*-,►k,A S 1,. N.6- Tel. 0108 CONMCIOR & ADU ESS H'oy -I- Co nt S W , 8 3 v a Is , Tel • # J 8 i ^ g 3 2. j Architect & Address Reg. # Engineer & Address Reg.# TYPE OF WORK [ ] New [ ] Addition [ ] Alteration Describe r < u o h S W: • V 1 Ny I AJ 1 ?1 Ad%,,i S Applicant Signature�� �e /—L / h ,► - j� s o- e� Tel # Qty- LY -72-7 Date 1 ° -11-70 Width BDImnvw Dnammia S Height Sq. Ft. # of Stories OFC. AREA: length Width WHSE AREA: Length Width OrTHER AREA: length Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. VALUATIC N Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ s/, 060.E Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VAIDE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes Permit Fee Fire Surcharge. Plan Check State Surcharge $ SAC Charge $ Park Fee $ Spec. Assessments $ Driveway Escrow $ T07AL $ �.()a S,30 . ,�b [ ]No See Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th 5%) In Excess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation (See Seed. for > $1 Million) $600 per SAC Unit Fee Determined By Engineering Agreement Necessary [] Not Necessary [ ] feet x $13.50/foot ADDITIONAL STIPULATIONS ON REVERSE SIDE SUBJECT �• __ City of Fridley 2279 5 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. V PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/17/94 JOB ADDRESS XXXX 5460 7 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4-8,23-27 9 SHEET Hamilton's Addn to Mechanicsvi 1p 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Kmit 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Peterson Bros Roofing & Construction--481- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP HONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION X REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Remove all roofing on main roof area; install built up roof to Code- e9 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $18281 $9.14 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $198.00 Fire SC $18.2.8 STRU,CAON OR THE PERFOR E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $225.42 -—�� SIGNATURE OFO i RACTOR OR AUTHORIZED AGENT IDATEI WHEN ERL VALIDATED THIS IS YOUR PERMIT 8 BLDG INS SATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Prepaid Plan Check $ Estimated Cost $ Receipt # CTITOFFRHXM R-3, COMMERCLAL & IN usnUAL. look • .r. , a•. �� • • 1 W NOW .1 •. - • • ��.� �■ .1 �i i I .19. W.11KITUMM MA M -IS Effective 1/1/94 —476c � 1 TYPE OF W= New Additi(xi 6 fly qol- Pm nr A Signature -A k � �, = —,-, F,% BUHMM 1 1 IJ by • .ti •Width_Height_• Of • OFC. AREA: Length Width WME AREA: Length Width OUM AREA: Length Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. Sq. Ft. x $ Cast/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $(� v Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) VALUE Building Use oust uct-ion Type"��^ Oco4w Cy Group Air Conditioning []Yes ]No Fire Protection Provided []Yes []No Performance Bond Amount-$.: See Reverse for Schedule Received []Yes []No Permit Fee $160 Plan Check $ Fire Surcharge $ State Surcharge $ 2 1L SAC Okirge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ 710tm $ � See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $800 per SAC Unit (Plans to MWOC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Nay [] feet x $13.50/foot SUBJECT City of Fridley (_3 14 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC.6 � r :PROTECTIVE ' 01"'1 CITY HALL FRIDLEY 53432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910415 9/29/00 10B ADDRESS 5460 7 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4-8,23-27 9 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ellen Kloss 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Overhead Construction 17259 N Creek Dr, Farmington, MN 55024 612-460-6277 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear-off and reroof south 1/2 of apartment and lobby; Use tapered insulation and Hypalon membrane B CHANGE OF USE FROM TO STIPULATIONS Install per manufacturer's specifications. 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 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 $30,000 $15.00 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- $441.75 Fire SC $30.00 STRUCT OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE VIOA& Awxmz -,Ou 86.75 It SIGNuRE O ON' CTOR OR AUTHORIZED AGENT iDATE HE PRO Y VALIDATE THIS IS UR PERMIT S,GNATURE OF OWNER OF OWNER BU4DERi iDATEs -SI -NSF' BATE Prepaid Plan Check $ Estimated Cost $ CITY OF FRIDLEY Receipt # R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construction Address Legal Owner & Address //" K 05 CONTRACTOR & ADDRESS AV 44- yA0-0Z C /l '7 P, Z� 4r A/ l'��� b r Architect Reg.# Effective 1/1/2000 (612)572-3604 Zoning Tel# ( ) ,P42 K, I !7.K- Tel# ( ) Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition Alteration -Describe OFC. AREA: Le t/ Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT AOWt Tel .611p— Date VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ ✓ �© Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No PERMIT FEES Permit Fee See Fee Schedule on Reverse Side Plan Check $ In Excess of Prepaid Amount - See Reverse Side Fire Surcharge $ f /v��� .001 x Permit Valuation (1/10th %*) State Surcharge $ $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1100 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [l Not Necessary [] Driveway Escrow $ feet x $15.50/foot TOTAL $ SA ATTACH STIPULATIONS Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DajMdJAN 17 200 763-502-4977 FAX EFFECTIVE 1-1-08 1/14/08 YOUR E-MAIL ADDRESS ted.miller@northlandmchanical.com DATE SITE ADDRESS 5460 7th Street NE TENANT SUITE NO. PROPERTY NAME: Oak Hill Apartment :YE5 ECC OWNER/ ADDRESS: 5460 7th Street NE CITY Fridley STATE MNzIP 55432 TENANT PHONE: 763-571-2080 NAME: NORTHLAND MECHANICAL CONTRACTORS, INC. STATELICENSE# 059225 -PM EXP DATE 12/31/08 CONTRACTOR SUBMIT A COPY OF EXP DATE 12/31/08 YOUR STATE LICENSE AND BOND PLUMBING BOND # ADDRESS: 9001 Science Center Drive CITY New Hope STATEMN ZIP 55428 PHONE 763-544-5100 FAX 763-544-5764 ❑ INSTITUTIONAL it MULTI -FAMILY ❑ SWIMMING POOL PERMIT TYPE ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER ❑ NEW1A REPLACEMENT ❑ ALTERATIONIREMODEL ORK: DESCRIPTION OF WORK Replace old water heater with new water heater and water ioner filter. r �.,='1� WASHER FLOOR DRAINS _ RPZ VALVE _URINAL HER GAS PIPING (CITY LIC REQ'D BACKFLOW PREY. 1 WATER HEATER FOUNTAIN _ GREASE TRAP _ ROOF DRAINS _ WATER METER _ KITCHEN SINK _ SHOWER _ WATER PIPING —FAUCET FLAMMABLE WASTE TANK _ LAUNDRY TRAY _ SLOP SINK 1 WATER SOFTENER _ LAVATORY —SWIMMING POOL _ WATER CLOSET ® �yAll fees are based on valuation, including the cost of labor and materials. Total Job $ Valuation Permit Fee $ f aS, DO (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ , Valuation X.0005 ($.50 Minimum) Total Due $ 13 0, 0 ® Minimum $35.50 Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not o start without a permit on site; that the work will be in accordance with the approved plan in the case of is re r r 1w and approval of plans. i PRINT NAME Ted Mi 11 er DATE 1/14/08 SIGNATURE OF APP ANT DAT/_ APPROVED B .. , T 1J f?: f?I� I3EJIi 1 C, LBi i liiC 4T., I�7I'I OITA IIP City of Fridley Building Inspections Vepartment 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 '1