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PRE2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° L45e) Date: +�.....,. Owner: Builder (02- Address Addr ss IN, O DING No. Street -- Part o t Lot _ Block tion or Sub-Divisi�n ,rte l� Corner Lot Inside Lot Setback-� Sideyard Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING T be Used F Front Depth Height Sq. Ft. Cu. Pt;( V,, t Depth Height Sq. Ft. — Cu. Ft. Type of Construction ' Est. Cost 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. 00.0 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 limits within the city and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,... _ .A r""3 Building Inspector NOTICE: This permit does not cover the construction, "Ratio, re, whine, plumbing, Basi heating, sewer or water. Be sure to see the Building Inspector for separate permits for then items. t APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Address Address % -3 Z..S -1 - 4Z� AJ-_ LOCATION OF BUILDING No. / -R � / Street its. Al -145 Part of Lot Lot /6 Block A Addition or Subdivisionui.-1�� �] Corner Lot Inside Lot rs Setback­aL Side -Yard S ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING TO L19ed a9 S FrontDepth 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© fa_cts and re esentations stated in this application are true and correct. �°,w � �' �° L DATE — SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location .��� ✓� rya N C ��{/ y, F Z y� rZK� K Z S G a Z �j �a �U'd w �O' 4n f9 z �U' • F • N WATER HTR. GAS ELEC. j S 3 F O u'S U< O Base 1st 2nd 3rd 4th • Future Connection Openings Conte with I Sewer E] New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $1.50 $T a •� Future Fixture Opening ................ x 1.20 $c:2_2U New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ • d a New Ground Run Old Bldg. x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE I City of Fridley: The undersigned hereby makes application for a permit for the work hereat 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. Owner Kind of Used as Tobec Esumatea Lost, eMd—New. Building Permit No Permit Wo. Signe By Business Phone No d ROUGH FINAL ,33.20Y City of Fridley, Minn. N° 8765 • BUILDING PERMIT Date: APRIL 13, 1966 • Owner: DONALD JACOBSON Builder MODERN GARAGE BUILDERS Address 1371 - 53rd Avenue N. E. Address 9240 LYNDALE AVENUE SOUTH Fridley, Minnesota 55421 Minneapolis, Minnesota LOCATION OF BUILDING No. 1371 Street 53rd Avenue N. E. part of Lot Lot ---- _- Block Addition or Sub -Division Corner Lot _ Inside Lot _ _ X Setback —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Attached Garage Front 20 Depth 22 Height 10 Sq. Ft. 440 Cu. Ft. 4,400 Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _... $2,364.00 _ 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 compliance 211 dons of ordinances of the city of Fridley.,��/ CV ' In consideration of the payment of a fee of 5.00 , permit is hereby granted to MODERN GARAGE. BUILDERS to construct the building or addition as described above. This permit is granted upon the express oandition that the peon to whom it is granted and his agents, employees and workmen, in au work done in, around and upon said building, or any thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding lit may bete revoked t any �time�upon ovi lationof any of the Provisions of�said wiordtinan6. city limits and tlda ALLEN G. JENSEN Building Inspector NOTICL M pormit dos not down iia domtrudtion, inatalWm for wiring, plumbing, an hoadng, ower or water. Be Sure to as tis Bnibllug [up dor for gparaN pwmbs for than itenm APPLICATION FOR BUILDING PERMIT CITY �OF FRIDLEY, MINNESOTA OWNER'S NAME]e�/?gdL�a�s ADDRESS__ ADDRESS A14 LOCATION OF BUILDING N0, 23 71 STREETS PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT�XSETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front`Q `Depth Height %_ Sq. Ft. T� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. 9 c Type of Construction %,('A Estimated Cost ,� L To be completed_ ZC p/,¢ y 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE_ oCj- /� - �� SIGNATURE / (Schedule of Fee Costs can be found on the Reverse Side). Cs a CJ • -5tg-6-%vim City of Fridley, Minn. N° 8821 BUILDING PERMIT Date: MAY 11, 1966 Owner: DONALD JACOBSON Builder C. P. GUNDERSON, INC. Address 1371 - 53rd Avenue N. E. Adder 6216 Concord Avenue South Fridley, Minnesota 55421 Minneapolis 24, Minnesota No. 1371 Lot Y 15 Corner Lot _ Sewer Elevation LOCATION OF BUILDING Street 53rd Avenue N. E. Pry of Lot . Block 2 Addition or Sub -Division . Swans trom 1 s Court Inside Lot — Setback —_ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: FIREPLACE IN Front Depth Height Sq. Ft. CL. Ft. BASEMENT AND t Height Sq. Ft. Cu. Ft. I4 Type of Construction B�GF . Fqt. Cost — $00.00 To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to the proposed work in accordance with the description above set in compliance with ail provisions ordinances of the city of Fridley. ,ul L In consideration of the payment of a fee of $ 4.00 _,permit is hereby granted to E. P. GUNDERSON, INC • to construct the building or addition as described above. This permit is granted upon the express condition that the peon 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings ordthininantheces. city limits permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building Inspector NOTICE 'lids pormh den W eerar the contreetien, hshli w for vArhi& piumW9, en hosting, sewer or wder. Be sure to as the su m>e impeder for apards psrmtM for ons Items. 'MAY 1.1 1966 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,,MINNESOTA 12 OWNER'S NAME "� L,; ,a ;� ' a BUILDER r ADDRESS f �I .��3 _���� ADDRESS LOCATION OF BUILDING N0. STREET a % ' L _ -7 " r PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD 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: ._ tee --,,.Front Depth Height -z`CLf Sq. Ft. q Cu. Ft. Front Depth Height Sq. Ft. - Cu. Ft. Type of Construction Estimated Cost J�� J= 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_ / SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). N? 5109 Origin Permit foPPLUMBING AND GAS TITTING h-1-�s— N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Peiinit /��� inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this Permit.. Fee DFSCRIP71ON OF WOGS Number, Sind and Location of Fixtures Stories F F p U J Z 7 m M m F Z a m Y = Y m tll 3 Z Z o D LL a 3 0 p Z 0 LL O tl Z m m ; aj z a J V £ LL .! m a O C w zQ O C WATER HTR. 6A8 ELEC. Basement Lstlz 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted -�::> - e '!:�. 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 and 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 Inspector. az 1M—"9 -V City of Fridley I? ,19-9D Owner Location �� I - d"L e d't� Kind of BuildingJA.A NVLS Used as To be Completed J , 19-12D Estimated Cost $- . O 0 Old- ew. Building Permit No. Inspector of Buildings. City of Fridley Appkaffon for Pbmblng and Guo Rttbg Pa adi Dept. of Bldgs. Phone W-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixture$ 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 = $2.00 WATER MTR. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... ........ 2 x $2.00 7 + F —x$.75 N Gas Range to 199,000 BTU ............... x $6.00 $ install (1) grill & lite 6.00 GAS ELEC. Base 1st 2nd 3rd 4th _ ° Future Connection OpenhW Connected with - — • New Fixture, Old OpeniqpI Sever C]1 Cela 1 ❑ 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 = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... ........ 2 x $2.00 $ 2.00 Additional Fixtures ..... .............. —x$.75 $ Gas Range to 199,000 BTU ............... x $6.00 $ install (1) grill & lite 6.00 REPAIRS R ALTERATIONS—Refer to Code Description .................................. ...........$ TOTAL FEE $ 8.00 Lata 1371 NE. 53 Ave. City of Fridley: 53-84-5915.51 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,. Minn- April 21, 1970 19_ Owner __Donald L. Jacobson Kind of Building frame Used as residence To be completed about April 24, 1970 Estimated Cost, $ 20.00 Old-ANew. Building Permit..No.—. _J,ermlt No. By -- Business Phone Alupn, . GA s co ROUGH FIxAI. /la 34 .7 �� 9 PERMIT for Power PlIts and Heating, Cool - is ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make s , JJS Oil fired—,- Coal fired—, Gas fired ; Gas Authorization No. ^ . I h Remarks Approved by. Final Inspection Date , 19_ Inspector S_J0':2-3 Pert N° - 4'732 Fee $ le U� Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. S , 19-240- Owner Location /-? 7/ --/ g�Q,t,� s /� � 6. Kind of Building �"��� How Occupied , �� Work to be Commenced—,19— To ommenced ,19_To be Completed ,199e) Estimated Cost, $ ZO tl (Dew, Building Permit No. Permission is hereby granted to U-0 . to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the pers94 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 hereb 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 specificatio set f rth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings .41�42 2M 11-67 v City of Fridley Appicaf o for Plug and Ga: FktMo Dept. of Bldgs. Phone 960-3490 DESCRIPTION OF WORN Number, Kind and Location of Fixtures Location 13 7 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $-- New_ 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 .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures . • .............. x $2.00 ;- Additional Fixtures .................. x i .75 $ Gas Range to 199.000 BTU ... ,.......... x $5.00 $ REPAIRS R ALTERATIONS—Refer to Code Description .............................................$ TOTAL FEE $ s 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 ,11% Fridley, Minn 6 I %)-- 1935 Owner Kind of Building Used as To be completed a Estimated Cost, $ r Old—New. Building Permit No. Permit No. �'� V Signed 47 By. Business Phun o ( ROUGH 01REMEMMMMMMIN R NEEME ENSEr7W �ENE� ■ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $-- New_ 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 .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures . • .............. x $2.00 ;- Additional Fixtures .................. x i .75 $ Gas Range to 199.000 BTU ... ,.......... x $5.00 $ REPAIRS R ALTERATIONS—Refer to Code Description .............................................$ TOTAL FEE $ s 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 ,11% Fridley, Minn 6 I %)-- 1935 Owner Kind of Building Used as To be completed a Estimated Cost, $ r Old—New. Building Permit No. Permit No. �'� V Signed 47 By. Business Phun o ( ROUGH N° 5140 Origin J 3 U OC 7 Permit for PLUMBING Q m 0 AND GAS FITTING S i Y3 R' O D 4 S (p J K 4 0 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit Fee y Q Q 0 4 m Z Q Q O K inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., ELEC . Basement DESCRIPTION OF WORK Number, Kind and Location of Fixtures City of Fridley '19-9-0m Stories E W F 0 < Z F m Z m W Z =� y 1- Z� O O a a Z G �_ W WATER HTR. 2nd 4¢ 3rd % IL M Permission is hereby granted to do the plumbing and gas fitting in the building described in the s tement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and 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 Inspector. 42 1M-6.69. V Kind of Building—��� Used as To be Completed -19— Estimated 19_ Estimated Cost $� 2k • A rs @ Few. Building Permit Date Inspector of Buildings. J 3 U OC 7 Q I- ® I- Q m 0 K 3 F R' O D 4 S (p J K 4 0 Q Q 4 U m K J F ILL y Q Q 0 4 m Z Q Q O K 6A8 ELEC . Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the s tement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and 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 Inspector. 42 1M-6.69. V Kind of Building—��� Used as To be Completed -19— Estimated 19_ Estimated Cost $� 2k • A rs @ Few. Building Permit Date Inspector of Buildings. City of Fridloy Applicaflan for Plumbing end Rama Pe it Dept. of Bldgs. Phone 560-3950 DESCRIPTION OF WORM 1:3Number, Kind and LocrBon of Fixtures / / ffi Y Y N Y Z Z "z W (N S WATER KTP. o �3 g 32� °`� g�'S� 7' 7� �$ s a GAS ELEC 0 U a U Base 1st '6 2nd _ 3rd t 4th Future Connection Openings $ower * Now Fixture. Old Openings 1 1Ccs.-pool PARTIAL RATE SCHEDULE' PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ :x $2.00 $ 1 Future Fixture Opening ........... x $1.50 $-- New Fixture Old Opening.. x $1.50 $,.__. Catch Basin .................... x $3.25 $ Water Beater !Up to 99,000 BTU) . • • • ix $3.00 $ 3C 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 Citi Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representztions stated in this application are true and correct Fridley, Wnn y -LI - "� 1 192S - Owner Do'r'j � �" � � �e) Kind of Building Used as '<� o -Y L W k9 C1 �► �1� . To be completed about — _ -7 aC Estimated Cost, $ 41 Cew. Building Permit No. Permit N a Signed New Ground Run Old Bldg......... x $.3.25 $ ROUGH Electric Water Heater........... si $2.00 $ A � • FINAL a�� . 3J..S FITTING FEES: NO. t RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU ........... x $5.00 $ REPAIRS & ALTERATIONS—Refer 4o Code .50 State Surcharge Description ......................................... By - rv�a csy Business Phone No CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE TOTAL JOB ADDRESS $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. WE I Gas Dryer _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE ..(� b , 199* Owners%�� Building Used As Estimated Cost VOD PERMIT NO. 11122 PLUMBING PLUMBING COMPANY d SIGNED BY s!i` TEL N0. Approved B Rough—In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $ PLUS THE $.50 STATE SURCHARGE SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3 i 92 RECEIPT NO. -------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. [(fib /%� C/ - 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 6/22/01 / / JOB ADDRESS 1371 53 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 2 1 Swanstrom's Court Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Dobos 1371 53 Avenue NE 763-574-9473 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 Construct an 8' x 10' Front Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WA 1 SEPARATE PERMITS Before digging call for REQUIRED FOR; all utility location WIRING 454.0002 REA7ING PLUMBIQ AND SIGNS REQUIRE® BY LAW 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 S0. 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 1 STALLS I 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 $880 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT •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 PLAN CHECK FEE TOTAL FEE 7.08 MEN PROPE �� UR,-URMIT®� SIGN4T OF CQN'RAC R R AUTHORIZED AGENT IDATE. S,GNATURE OF OVVi R qF OWNER SU4DER1 IOATEi B NSF' - gatE NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. a5GfL Address: Effective 1/1/2001 (763) 572-3604 Bldg Insp Tel. #;G3 S�7 9�'— S5V73 MN LICENSE # 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 S1_ Width l�P Hgt/Ground a Sq. Ft. OTHER: Construction Type: Estimated Cost: $ V� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: '— -4Z APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 3� 7 %0 Fee Schedule on Reverse Side Fire Surcharge $ S8 .001 of Permit Valuation (1/10th%) State Surcharge $ 0 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $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 [ ] aa�7 TOTAL $ STIPULATIONS: W14 oZ X a seine R oc .*g kAj ee N,4(( -S a- iv 6 p "' 14� �/ 0.40 ok ?c 6 P[UIN APP �4 B ®� A SECT I61nn 1 -- FIELD 1040 s-0' 1 Or. a t'• X _ ��`"4xr"frid'X adF; i,«�F ,•�,9�.�2t S � £, �tx' d ^y„'(�'ip4y�p�'sJ'E�•11�1�-k ^pi$ 1 4 „P° G rr r` ✓ �a'aL'�. 'k i n t 'l 4 "w. v .N 1;�, f w a LAND URVBYOR s z y w ����'"C,�.�o,.�,��*,•�,.� k�� �� IIL41�TiRLO,��U�'In� LAtMl1�--AT�4lTR�OR"VMINNHOTA ,. •F,, ���;�lw�b*x� M1181tAPQ4s dff �}k'� r 'fi°f'Fk''4'`�•.�'ir 3� 1R SliTN STRBd? y '� 3° PA.'4.4661 in"'t'"er" 61 �N�1�. 1.,� 1 ,�4}✓l:h 135 h/i'ixk ._",� PA7 3 !i r: `i};"`r '7�'rt:1'�^!� N, ���;'t C '���^•"'r 4 t i� C! Al {r'fl `iYMa?'74� fnl,}�F dk3' g �zr kit J � }• ) .V. R „yy5u�3.M'�•9,p Is' xxF.i Net, AT TNt ANOVt Is A TRUs, AND oO tm=, PLAT or A SU A OF 40N,lt�� 'r- ctiE 4 r3 yot° 15 Blook �2, SwQnstroM 8 CoU tq A+ddl jion. � x p d s �tsr `�js'��,1,�-m .�. . , 'Y •,u n� x � } t+ y SIGNED. + ' 00” is uvif* 8981 ��.z�aaa ae� eua TTeKB a8VO ou uI •9*Z SUBJECT P City of Fridley 3 23 AT THE TOP OF THE TWINS BUILDING PERMIT ` COMMUNITY DEVELOPMENT DIV. ______ r 'L PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY ` A �;'� CITY HALL FRIDLEY 55432 A L --__ 612-571-3450 910415 1/15/02 JOB ADDRESS 1371 53rd Ave NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 2 Swanstrom's Court Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lois Dobos, 1371 53rd Ave NE, Fridley, MN 55421 763-574-9423 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen, 350 73rd Ave, Fridley, MN 55432 MN20130983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK Q� X NEW O ADDITION ❑ ALTERATION K REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 6 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. Permit InspeCH(In Cards III Be Mailed To tie eowner To POSE 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 OWLG. 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 $4,000.00 $2.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 $4.00 Fire SC PLAN CHECK F L FEE .0 Li ens 7108.25 SIGNATURE OF CON-RACTOR OR AUTHORIZED AGENT IOATEI HE PROP VALI ED THIS IS YOUR PERMIT BL G ,NSP OAtE S-GNATURE OF OWNER,IF OWNER BUILDER, IDATEI NEW[ ] Effective 5/10/99 ADDN [) CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPL UM R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:, t3i- I—C.-.7RL Q • N. F, - Legal Description: ' Owner Name & Address: Lo%s Tel. # �-la 3 • $}y - %� 3 Contractor:; MN LICENSE # Renewal B Andersen Address: y 350 -73rd Ave. NE Tel. # Fridley, MN 55432 Attad 763-502-4777 :y. of the lot W #MN20130983 to scale. DESCRRITION OF ROV.EMENT . LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ 4.()Q a Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ t- DATE: APPLICANT Tel. # 9 SD • 3�5- 41 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 94- 9S $ aob $ St Park Fee $ Sewer Main Charge., $ TOTAL $ 1 D$ a% CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] srButaTTorrs: Syy�f �FYF��d+PS //h F•�c� SIFf��•v4' �04�! f d� F•vcg lFv��