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PRE 2010 DOCS` BUII.DING PERMIT Village of Fridley, Minn. N° 2 R 4 4 Date. . .�........................ Owner -Z- �. ... Builder ...... Address /......,�. Address ....��.....� . LOCAT N OF BUILDING No. . .1 ........ Street .......� ......................... Pa f rt o Lo . �...� . ..i. �. Lot ................ Block .... .....'.. . Addition or Sub -Division r ... . Corner Lot ............ Inside Lot ..."�....... Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: . c ` ...... Front .q (P... Depth . ... Height Front ........ Depth ........ Height Type of Construction Est. Cost ..16t .4 Q'Q ........ Sq. Ft. .11,1674 Cu. Ft. ........ Sq. Ft......... Cu. Ft........ . To be Completed ........ 0 A< In consideration of the issuance to me of a permit to construct the building described ab ve, I gree to do the proposed work in accordance with the description above set forth and in compliance with provisions of ordinances of the village of Fridley. In consideration of the payment of a fee of $.14 ..'©, permit is hereby granted to ...:1C... '....... •l�. U.1t........ 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 with- in the village limits and this permit may be revoked at ag'y-tim upon WolatlA of any of the provisions of said ordinances. v .. .. ... Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector fQr separate permits for these items. • it City of Fridley, Minn. BUILDING PE TN° n�� 4 5 Date: Owner: Builder "" f Address _ Address TI BUILDING No. _ " Street 1p _ _ P Lot Lot _ __ Block Addition or Sub"' Corner Lot Inside Lot Aetback ideyard Sewer Elevation _. _— , Fow tion Elevation DESCRIPTION OF BUILDING To U Front Depth Height Sq. Ft.�, (/' � Cu. Ft F --- Depth Height Sq. Ft. Cu. Ft Type of Constructi Est t 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 4r— , permit is hereby granted Co— 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 uponvion of any of the provisions of said ordinances. _..n Building Inspector NOTICE: This permit does not cover the Construction, tnstagatlon for wiring, plumbing, gas heating, sewer or water. Be acre to we the Building Inspector for separate permits for these Items. 1. .ji;�0 4 0 APPLICATION•BUILDING CITY OF FRIDLEYOMINNESOTA J / • .. - - .CLQ!`/ •1/" �� ._ Address,] ;4, LOCATION OF BUILDING No. J:2- / Streets 3 Part of Lot Lot BlockAddition or Subdivision Corner Lot Inside Lot Setback Side -Yard 3 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Z Depth Height �® / Sq. Ft. 'EL 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 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, DATE �p SIGNATURE / (Schedule of Fee Costs can be found on .the Reverse Side). J SUBJECT RMIT NO. City of Fridley -167 -15 AT THE TOP OF THE TWINS BUILDING PERMIT rp NO. �IPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBERDATE REV. FPAGE OF APPROVED BY 612-571-3450 910-F15 8/9/82 / / JOB ADDRESS 521 - 53rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Oak Hill Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lan raff ' 521 - 53rd Avenue N.E. 572-9016 —Virgil 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ' X 201 Gardge Addition 8 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 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 $3 296 $1.65 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- $44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $46.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAAATTEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG IN! nA E IG SN URE OF OWNER IIF OWNER BUI ERI ID TEI s � ,� MADDRESS CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION! FOR RESIDENTIAL BUILDING PER141TS (New, Alterations, Additions, or Repairs) • Co • STRICT NO: IV STREET: BUILDER: ADDRESS: TEL NO: ion Location W 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 I ---A -- rront: Square. Feet: Front: Depth: ®r Height: 'X0 r Cubic Feet: 3�,,,00 Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: -- To Be Completed: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: S S SEE REVERSE SIDE OF SHEET Mie undersigned hereby males application for a permit for the work herein specified, agreeing to do ,all work iri strict accordance with the City of Fridley Ordinances and rulings of the Deik-irtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATUII£: A c Stipulations: j z NliNDF,nFNGrNE G C(:),OglNco ENGINEERS AND SURVEYORS , u►wD SURVEYING SOIL'S TESTIN0 � CIVIL 6. MUNICIPAL ENGINEERING LANG PLANNING _ 6418-5GT" AVENUE N. MINNEAPOLIS M MINN. KE T- 3637 cer-jilica4t of I ' j or • � r a iIV v •: S9� 0 JJ r �� WE HEREBY CERTIFY THAT T1415 n A TRA AND CORRECT REPRESENTATION OF K SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF {WY, THEREON , A"D ALL VISIBLE ENCROACHMENTS, W ANY, FROM OR ON SAID LAND. M NDER ENGINEERING CO., INC- E1J611 KESS O."D SURVEYORS DINTED THIS - MY OF _ 6' ,tom. sueJEtr T City of Fridley 2 8 381 AT THE TOP OF THE TWINS BUILDING PERMIT i � INITV DEVELOPMENT DIV. e' PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REVGATE PAGE OF APPROVED By L J` 612-571-3450 910-F15 110/22/98 JOB ADDRESS 521 53rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j 4 Oak Hill SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Landgraff 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Improvement Co. 4832 2 1/2 St NE M is 55421 572-1820 4772 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 O NEW ❑ ADDITION O ALTERATION lk REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (32 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 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 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 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 $2742 $1.37 DOES NOT PRESUME T GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO ANY OT ER STATE OR LOCAL LAW REGULATING CON• STR CTI THE PER ORMANCE OF CONSTRUCTION $74.75 F sC $2.74 PLAN CHECK F T AL FEE LD z Lic e C $ 83.86 IGNATU F CO "FfACTOFI OR AUTHORIZED AGENT f [DATE- HE FPR P VALID THIS IS Y UR PER IT S,GNAT qE F OW NER,iF OWNER BUILDERS tDATE, B G �iNSP DATE NEV-,,' [ ] Effective 1/1/98 r°iDDI�' [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 57 � �) A'y Legal Description: Owner Name & Address: Tel. # Contractor: V I le -t rQ (7 14,u me; I Keg 5 71/1 e - Air MN LICENSE # 4-7-72., Address: _ 03 24 s-� /7. e • Tel. # t;7 % Z ° / ?2-O Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT 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: 2- S AJ Estimated Cost: $ } (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: CP I / 7r APPLICANT: Tel. # CITY USE ONLY TOTAL STIPULATIONS: $ 83, ffa 0Z/�-© 9S7 Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 2 74/ .001 of Permit Valuation (1/10th%) State Surcharge $ j $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S Q U $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ 83, ffa 0Z/�-© 17Y OF FRIDLEY INSPECTION DIVISION Effective On January 9,190 ilo431 UnWrskAve NE ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 72-3604 REFRIGERAZON AND AIR CONDITIONING SYSTEMS AND DEVICES HEATING COMPANY IINIli1U1111 FEE RSR ANY HEATpVGI000LtNGNQVTILATION EFRIGERATiONlAtR CONDITIONiNQr PERMIT IS $25.00 Signed Iry= Tel No. LL1S THE $.50 STATE SURCHARGE ._..." EINSPEGMON FEE $4200JHr Approved 8y Rough -In Date Flea, Datel�, Air Coni ioners can not be placed in a side yard watt to FILL OUT BACK SIDE FOR STACK VERiF1CATION ON REPLACEMENT FURNACE bitten perrnisslon from adjoining property owner. .LOB ADDRESS �� j 5?k Q RATE SCHEDULE The undersigned hereby makes application for a permit for the work hereln esiderltiall Rate MTAL speoitled agreeing to do all work in strict accordance with the City Codes and =urnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and 41so Replacement Furnace $3000 $ representations stated in this application are true and C prrea (Side Vent - Fill Out Rack) 1 "'°moi 3w Piping (Needled wifi new furnace, $1000 $ but not repiacemer4) Sas Rang®, $1000 $ � BUILDING USED AS Sas Dryer $1000 $ ESTIMATED COSTt�-'"j AERNTNO, Air Conditioning - All Sizes $ 25.00 $� M Others/Repalrs & Alterations (UST ON BACK) DESCRIP712H OF RMACE AN6,0F BURNER I % of Valvae of Appliance or Work $ No. of Hea&ig Units 1 Circle One (Seam) (Ho! Water) j arm Ai l TradeName Luyn ; /it, Slzelko. arnmerciallindustriat RTU F41), C� KP EOR 1.25% of Value ®f Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Sumer Trade Name Size No. TOTAL FEE $ BTU HPEDR HEATING COMPANY IINIli1U1111 FEE RSR ANY HEATpVGI000LtNGNQVTILATION EFRIGERATiONlAtR CONDITIONiNQr PERMIT IS $25.00 Signed Iry= Tel No. LL1S THE $.50 STATE SURCHARGE ._..." EINSPEGMON FEE $4200JHr Approved 8y Rough -In Date Flea, Datel�, Air Coni ioners can not be placed in a side yard watt to FILL OUT BACK SIDE FOR STACK VERiF1CATION ON REPLACEMENT FURNACE bitten perrnisslon from adjoining property owner. Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:� -ok DATE vnn YO E- ADDRESS SITE ADDRESS ) o� '� 3 %✓r T THIS APPLICANT IS: J�OWNER ❑CONTRACT R PROPERTY NAME: t ADDRESS: i " r CITY ® STA ZIP OWNER/ TENANT PHONE:20`'.L7.-5,� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP- TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERMIT TYPE rye rr SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW *EPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This .should_ reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR;PROJECTS WHERE LABOR EXCEEDS--$500,-FEES ARE BASED ON $10.00 PER FDCTURE,EXCEPT•WIERE N T-ED-.Fwr-.u. RESs-.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING ova =vcross) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) _ _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER WATER METER —OTHER wpm Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surchar a .50 Number of fixtures @ $15.00 0 x $15.00 = $ 1 5_- L� Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ Total = $_I M 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 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 to start without a permit; that the work will be in accordance with the approved plan in the case o jl wo;jc w ich r quires eview and approval of lans. / SIGNATURE OF APPLIC PRINT NAME DATE �— --z_l ® . M1 *0 q� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977