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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. No 2286 Date". `.......................... Owner................... Address.lil. �`!'. ... u Build ................:.......... Address......................... II LOCATION OF BUILDING No. .... �!....'; Street ........................... Part of D0f ....................... Lot ..... . .....1, Block ....�......... Addition or Sub -Division "�:." ......'..... . ................ . Corner Lot ....... ... Inside Lot to ........ Setback .. Sideyard /40 ................ I DESCRIPTION OF BUILDING To be Used as: . .. .....' ... + Front *7'60 ... Depth .r.`V.. Height s . :� .. Sq. Ft......... Cu. Ft........ . ................... rll Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. .. . . evd . Type of ConstructiO4 .� .' : Est. Cost .. .!I� ........... To be Completed . !.... .......... . In consideration the proposed work ii ordinances of the vil f the issuance to me of a permit to construct the building described above, I agree to do accordance with the description above set forth and in compliance with all provisions of ge of Fridley. .... ... .y,; , •.r •� u I� c eration f the payment of a fee of ......, permit is hereby granted to .......... ............. yin $. . � .. to construct the buildingor addition as described above. This permit 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 t}pon 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 aid this permit may be revoked at any tim - upon n viool of any of the provisions of said ordinances. I! I' ... ... 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 for separate permits for these Items. I 1 .III C� L1 Q.e ��/ )-- City of Fridley, Minn. BUILDING PERMIT N® 7084 Date: !?– /� e.'/ (r Owner: Builder Address Address L�F BUILDING No. Sheet � � �___._.�— Part of Lot Lot __ Block Addition or Sub-91yron Corner Lot _ Inside Lot>r#back Sideyard Sewer Elevation �— _ Fo tion Elevation DESCRIPTION OF BUILDING v as: Front Depth Height Ztq Sq. Ft. Cu. Ft, Front Depth of Height _ _ ____ Sq. Ft. cu. Ft Type of Construction _ _ Fast. 14 _ -- 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. /% ' N _ , A rater 1 vi In consideration of the payment of a fee of $ r�T , 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 ante city ]units and this permit may be revoked at any upon � olati" any of the provisions of said NOTICE: This pemdt doss not carer the condruction, Installation for whdng, Plumbing, gas heating, sewer or water. Be suns to no the Building inspsstor for aparate permit for these items, - APPLICATION FOR BUILDINC> P4M T CITY OF FRIDLEY, MINNESOTA; T , OWNER'S NAME i�Qua1��� BUILDER ADDRESS_.4 X13.2- Aide 41W7,ADDRESS Af S-9 Ce�-x» ca- ; .: cxk LOCATION OF BUILDING, No. Street ••-Part of ''Lot Lot Block Addition or Subdivvision • Corner Lot Inside Lot Setback Side -Yard.: SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form.Tw,o•Certificates of Survey of:.Lot and proposed build- ing location drawn on these Certificates,. To be used as: DESCRIPTION OF BUILDING _FrontZ) Depth_- - � ` .,_..Height.•..: v. Sq. Ft. Cu. Ft. Front Depth Height Ftp Type of, Construction /fir-a.�,,� Estimated, -Cost / mory, m ----------- .To be Completed 4 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_40 oa. P- 8 r( i 4+ S (Schedule of Fee Costs can be found on the Reverse Side). SSD -S//4 LOT NAME SIZE C/d� /,�/ /i��w o r t/f d// X A 12 BLOCK ADDRESS VALUE cw ,6-0 9 07,pe. ADD'N. AREA TYPE le WA $1► con �/u, f /'• 4 O 3 da / is � /& • S1 4 4 .00 /11vaS e os.o. vn off//, e;rro/c,771 SUBJECT PE City of Fridley O AT THE TOP OF THE TWINS BUILDING P E R M I T _1629- rp CEIPT N ' ___ COMMUNITY DEVELOPMENT DIV. �.: - --. PROTECTIVE INSPECTION SEC. 7 %-Z 3 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i J\ 612-571-3450 910-F15 7/27/81 / JOB ADDRESS 508 - 5312 Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 Temple Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clyde Haworth 508 - 53h Avenue N.E. 560-5116 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Professional Roofing Services 7257 Yucca Lane, Maple Grove, MN 425-8233 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 Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 $850 $.50WITH 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- STRUCTION OR THE ERFO09CPE OF CONST CTION. PLAN CHECK FEE TOTAL FEE X A%r $8.00 SIG4A TUREOFCO TRACTORORAUTHORIZED 13ENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT Q C BLDG INSP GATE SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI - CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PEW41TS (New, Alterations, Additions„ or Rcpairs) OWNER: I L ADDRESS: TEL NO: BUI LDtR : ies ADDRESS: TEL 110: Construction Location • ST ' tiT NO: STREET: ...4ti.�...y4s � �����- LOT:/7 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 Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: ,�S ,� %�rt�CaF f� IJ �' l- Estimated Cost: $ ���. %b $e Oompleted: — Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . 9Sie 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 truq and correct. n DATE: % Q2 - SIGNATUF.e:: Stipulations: i SUBJECT PE T-XO-."�. City of Fridley r, .7 AT THE TOP OF THE TWINS BUILDING PERMIT r _ COMMUNITY DEVELOPMENT DIV. I __ a. PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/3/98 10B ADDRESS 508 53 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 iTemple Terrace 2nd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE #yKi Clyde Haworth 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Improvement Co. 4832 2 1/2 St NE Mpls MN 55421 572-1820 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 [I NEW ❑ ADDITION ❑ ALTERATION ]a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 24 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 $1.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2056 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- $74.75 Fire SC $2.06 STRU ION OR THE PERFOMANCE OF NSTRUCTION.A/r/�Z" PLAN CHECK FEE TOTAL FEE J L License SC $5.00 $82.84 SIG ATUREOF O T ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER THIS IS YOUR PERMIT i Bl )NSP eALIDATED - �— 3� MATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [' ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:�Legal Description: Description: Owner N Contract Address: & Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # LZ 7%,Z, Tel. # .- 7 Z W2-0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �� ¢�o Estimated Cost: $ Driveway Curb Cut Width Needed: (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ DATE: i �j APPLICANT: Tel. # -5�, Z �I2—�% —' CITY USE ONLY STIPULATIONS: Permit Fee $ -� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 [ J Not Necessary [ ] TOTAL $ new STIPULATIONS: o�C9TY OF FRIDLEY INSPECTION DIViSION / ®' lob 0 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND.HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE . Residential Furnace Shell and Duct Work; Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY.HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed.in a side yard without written permission from adjoining property owner. Effective On May 10, 1999 or JOB ADDRESS _, Oil P JOAF (.P. a - /! OWNER TOTAL AI67'Yjg� BUILDING USED AS ESTIMATED COST *S ,6 PERMIT NO. r17 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Ai $ Trade Name ' Size No.PwAo 5 - BTU HP EDR Fuel' Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ 5Q rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are•true and correct. $ 63 -.SD HEATING CO k `G Signed ad DATE 1011.6L41 D� Approved By/6 Rough -In Date Final Date 3—(o-&3 J. CHEVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or.stack: 1. Has been carefully examined Yes (WNo ( ) 2. a Is free from rust or deterioration Yes (L�rNo ( ) 3. Has no foreign objects lodged within. Yes (V) No ( ) 4. Is securely supported Yes. ( °-No ( ) 5. Meets all current Code requirements for size BTU's Yes ( LY No ( ) and total connected 6 Has total heating BTU's of 15� yy All other BTU's TOTAL BTU's �, P -OD 7. Has a liner been provided for water heater Yes( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No () , Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: k kG Lc2. /e/10/d CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 7, 2003 Mr. Clyde Haworth 508 53 1/2 Avenue NE Fridley, MN 55421 Re: Final Inspection at 508 53 1/2 Avenue NE Contractor: Anderson Heating & Air Conditioning Dear Mr. Haworth: A mechanical permit was issued on October 12, 2001 to install a furnace and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh