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PRE 2010 DOCSCity of Fridley, Minae BUILDING PERMIT Date: 6z Owner: _---'?x_'- uilder ! _ Address _ _ _ Address Lq ON F BUILDING No.f Street �.+`1��r� Part Lot C' Lot_ Bl _ Addition or Sub -Division . s I or Corner Lot _ Inside Lot Setback SideyardJL— Sewer Elevation _ __ ____ — Foundation Elevation DESCRIPTION OF BUILDING T Front L3d"` _ Depth's Height _,c Sq. Ft. st`"" Cu. Ft Fro n Depth eight „' Sq. Ft. Cu. Ft Type of Construction:._ Est Cose. 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 grdinances of the city of Fridley. In consideration of the payment of a fee of $-;Z=--, 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 pvithin the city limits and this permit may be revoked at any time upon violation f 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. �1 Y APPLICATION FOR BUILDING PERMIT CITY OF FRIDIZY, MINNESOTA � MOMP F -�'a a LOCATION OF BUILD;NG No. Street Part of Lo' Lot / Block Addition or Subdivisio Corner Lot Inside Lot Setback Side -Yard f SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: v Sq. Ft..?rCu. Ft. Front Depth Height Sq. Ft. Cu. Ft. ,� 60 Type of Construction we _ Estimated Cost %7 ®,. 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 representations stated in this application are true and correct. D. SIGNATURE 144J 0&-Z,,W 7/z�(A Schedule of Fee Costs can be found on the Reverse Side.) BLOCK ADDFMS VALUATION ADED TYPE ......................................... . ... .......... . .... . . ................... . . . -------- --- C,+' 7— Ad' .f - ---------- Ta;,. IN im ......... ...... * ....... . ......................................... . . . .... .......................... �% , ii . LINE I. Ae Z_ .f - ---------- Ta;,. IN im ......... ...... * ....... . ......................................... . . . .... .......................... �% , ii . LINE I. City of Fridley 52-84-915.51 App icalion for Plug wd Geo Rnkq FWmk Dept. of Bldaa. Phone 960-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Lecaftes 100 NE. 53 Ave. ���yyy x $3.00 $ lip New Ground Run Old Bldg......... x $3.25 � O llmv a $2.00 yt d {�jJ �1e`tj < 3 GAS FITTING FEES: y y�ja� (j a 7 f� zGAS • • WATER MTR. 2.00 ELEC. Base $ Gas Range to 199,000 BTU.. . ,.......... x $5.00 $ install (1) gas grill 3.00 1st 2nd 3rd 4th • ]Put=* Connection Osnainaa connected via City of Fridley: 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 application are true and correct Fridley, mann July 150 1971 Owner _ Wayne Reynolds Kind of Building frame * New Fixture. Old OpeningsI l Bower a Used as PARTIAL RATE SCHEDULE 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 .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. l i x $2,00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . ,.......... x $5.00 $ install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Code residence To be completed about July 20, 1971 Estimated Cost, $ 10.00 O1d-?�New. Building Permit No. Permit No. jf763 Signed By - Busin 9 ROUGH Description ............................................. i TOTAL FEE $ 5.00 OaSs ®A" Surcharge .50V July 7, 1981 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 '. Charles M. Walerius Q - 53rd Avenue N.E. .*idley, MN 55421 TELEPHONE ( 612)571-3450 Re: Intersection Vision Safety Zone Obstruction at 100 - 53rd Avenue N.E. Dear Mr. Walerius: In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on June 30, 1981 has determined that the sight line for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow .in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet from the inter- section of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and make the City's streets safer for travel. A reinspection will be conducted on or about July 20, 1981 to determine cesspliance. We are confident in your cooperation to correct this matter and if any questions or problems result from this letter, please contact me at 571-3450. The inspection of your lot indicated that the following obstruction is existing and should be corrected: Bushes or shrubs growing into sight line - trim down or back to be less than A feet high. Hedge growing into sight line - trim down or back to be less than 2;s feet high Tree branches growing into sight line - trim up Fence extending into sight line - lower or remove Sincerely, STE.4JEN J. OLSON, R.S. E nv i r onm en to 1 Officer CUTY 07— FP�,kr,=LMY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 0�' TELEPHONE ( 612)571-3460 OBSTRUCTION: Q, I- -+ r- e Lot Block Property (Nner-Address Addition RE -CORD OF CO2MIXIMTIONS: 1. 2. 3 64,/7 -7 4. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR New Fixtures at>>> ���` `---- Wash :> Shower Tral#3-k»� �: : _:;. _<:;:> #t€tk<: t:::}f:i: � }: -: , �?�E�l�<;:..:<;.< Floor n } .::.:::.:.:.}:_}}:::: �fs�;::: :=::f=':��?3' .lam ::it; Auto. - s>_>�< Washer Gas Heater StonesUrinal Elec Basement m n t Catch Basin $ 7.00 Rain Water Leader $ 7.00 YAEGER, LINDA /O�z� Sump/Receiving Tank WGas F loor1 - $10.00 FRIDWater Owner. (763) 5 4 73 55421 (763)574-9730 Water Heater -Electric $ 7.00 - Water Heater - Gas" $10.00 ` Floor2 Gas Range*" $10.00 S Gas Dryer** $10.00 LJA � Estimated Cost "� PERMIT NO. Back Flow Preventer Required ( )Yes () No Floor 3 Type : PLUMBING COMPANY Ma Reinspection Fee $47.00/Hr Floor 4 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS --_ = 1.5% of Value of Fixture or Appliance Approved By w I Rough -in Date Final Date %% a 9-60 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESSS ► �S 00kZ: 13 coWJ 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 $ 7.00 Rain Water Leader $ 7.00 YAEGER, LINDA /O�z� Sump/Receiving Tank $ 7.00 100 53RD AVENUE NORTHEAST Treating Appliance $10.00 FRIDWater Owner. (763) 5 4 73 55421 (763)574-9730 Water Heater -Electric $ 7.00 Water Heater - Gas" $10.00 Building Used As Gas Range*" $10.00 S Gas Dryer** $10.00 LJA � Estimated Cost "� PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Ma Reinspection Fee $47.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By w I Rough -in Date Final Date %% a 9-60 State Surcharge $ .50 ff TOTAL FEE s20-50 MINIMU ANY PLUMBINGIGAS PERMIT IS S20,00 �Wia bIME SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. Building $' r% 2!�-See Back Page for Fee Schedule BUILDING $ —� Permit No.: Inspections $ j. RESIDENTIAL APPLICATION Received By: 763-572-3604 .001 x Permit Valuation (1/10%) CITY OF FRIDLEY Date Rec'd: I 0. aaw S Q� `� r fx,1oneS - Come -)SITE DATE YOUR E-MAIL ADDRESS Curb Cut Escrow ADDRESS /oo — 53 ra 'ACL. -fy)' q.. - ft + 6 ft = ft x $20 = $ THIS APPLICANT IS: ❑ OWNER .1CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: 9, of Fee Determined by Engineering TENANT ADDRESS: CITY STATE ZIP Total Due y� PHONE: ! d ' ; �Jr - COW NAME: RENEWAL BY ANDERSEN Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR STATE LIC 1920 COUNTY RD. "C" W. SUBMIT A COPY OF ROSEVII.LE, MN 55113 CITY STATE ZIP YOUR STATE LICENSE ADDRESS:. WITH APPLICATION PHONE 651-2644777 ❑ SINGLE LICENSE 020130983 PROPERTY TYPE ❑ TWO FAi._..........-__--_____ )RIES PERMIT TYPE ❑ ADDITION ❑ GARAGR/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK. BEING DONE: - S SIZE OF IMPROVEMENT LENGTH WIDTH NEIGH Sq. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2• Proposal floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 5, ':Rq,S OCCUPANCY TYPE Permit Fee $' r% 2!�-See Back Page for Fee Schedule Plan Review $ —� 65% of Building Permit Fee Surcharge $ j. (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $(> O $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 0 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordin and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio or a permit anork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w re fres rev anciapproval of Tans. SIGNATURE OF APPLICANT AME �Q(rlS�i�1 DATE oS