PRE 2010 DOCSDate A9
Owner ,, .,P. A
Address %S- Fk(
BUILDING PERMIT
Village of Fridley, Minn. N° 2293
z.........................
.. .................. Builder ? y (
Address a -«. .....................
LOCATION OF BUILDING
No. .477.... Street...: ...! .......... Part of Lot .......................
Lot ....%..... Block .... ........ Addition or Sub -Division .2; 7140-. `pE ! ....
Corner Lot ...... � ..... Inside Lot ... 4e0 ..... Setback p��rri r/ki . Sideyard . AV t. lj' ..............
DESCRIPTION OF BUILDING
To be Used as: I
y Front,gip .. Depth . :refight Sq. Ft......... Cu. Ft........ .
r
.................. I . Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft........ .
Type of Constructi n Est. Cost . /4100-4? ... ~I ....... To be Completed ...........
I �
In consideratic
the proposed work
ordinances of the 'i
i of the issuance to me of a permit to construct the building described above, I agree to do
n accordance with the description above set forth and in compliance with all provisions of
Mage of Fridley.
..............
i
In o ideratio of the payment of a fee of $.! '. , permit is hereby granted to r: �raaa4�
.... .. to construct the building or addition as described above. This permit ' granted upon
the express conditio .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 Jai•►d this permit may be revoked at any time upon viola f any of the provisions of said
ordinances. X
... Building Inspector
NOTICE: r
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. �e sure to see the Building Inspector for separate permits for these Items.
City of Fridley
SUBJECT
P
- 15915
AT THE TOP OF THE TWINS
B U I L D 1 N G P E R M I T
r
1p
RECEIPT NO.
1 a: ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF
APPROVED BY
612-571-3450
910-F15
9/4/80
JOB ADDRESS 517 - 53�i Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
Temple Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lawrence M. Larson Jr. 517 - 53h Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Landgraff Construction 521 - 53rd Avenue N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 22' x 30' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
provide a hard surface driveway.
SEPERATE PERMITS REQUIRM FOR WIRti
HEATING, PLUMBING AND SfSNS WaRNIN cy
I tote diggingcall local
ities
TELEPHONE - EECTRIC
- AS Etc.
GAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
660
6600
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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
$5,814
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2.91
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$26.40
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$29.31
NATURE OF CONTRACTOR ORAUTHORIZED AGENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
i r 9
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C�
BLDG WSP A E
SIGNATURE OF OW NER IIF OWNERBUILDERI roATEI
..—. ---.-. ...r-...�.. :.:..i :.Y..e:•�.-.�;-.:.:.�`�...nyly,....;.....y '^ _ - •..�.� - -__.> _. ��.v,.-a ..o.vt. r.._xae �..s.-.._.. _. .0 s.. e_.L--ez1'�u. h.s.s ..Li �f><szib'oiit........s..—�r'►'' -...
• CITY OF FRIDLEY
APPLICATION FOR RESIDE
BUILDING PERf1iTS -
01114, ALTERATIONS, ADDITIONS, OR REPAIRS) �
OWNER: L.AWA"CE M LARS®a TZ BUILDER: L.ArZo G94jCF Con1s-xrk KC -r/ 6 A)
Address: 6e/7- .h-a.Y U -E. AIE. Address: AJE _ IJ•C: .
Tel. No.
S(o0.x$17
No.: .5'/7 Street: 5-3 !/Z kc- N• C 1
LOT: BLOCK: 1 ADDITION: T��/d`C �ER�/�CE aa� Oolr�otii
• —'7
CORNER LOT: INSIDE TAT: _ SETBACK: SIDEYARDS:
App'lica'nt attach 'to this form I..o Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
-ARACC Front: Depth: 30 Height: ® �
Square ;qu Feet: �40' Cubic„`Feet: ,
Front: Depth: Height:
Square Feet: Cubic Feet: C
Type of Construction: (100. F/tA /N E . Estimated Cost:. $
To Be Completed: /`ioNTff S Alt.e A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $ 1
E
(SEE REVERSE SIDE OF SHEET)
- 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 j
i
are true and correct. See reverse side for additional information.
DATE: `/ Ja,pT- (%SU SIGNATURE:'
Stipulations:
Mortgage Associates.1 a-
•"- - yds �� S irrr �4S^ s�* -a '
r
JACSCSON
S RVEYOR
Tt � x .yr .� 1 • y _� _
REGISTERED•
"09R' -,.LAWS b*'`STATE:.OF MINNESOTA
UCtNSED .BY-ORDINANCE•f.;CliYOF MINNEAPOUS
Ry
3616 EAST 55TH STREET PA. 44681
Or.: 6310
M257-25-_,-','____
f�urisepoc' lCtitifitatt
QW
� T -Fo ��'� }�x �Sh �r y S- � •�.�f�� b'.T�X 1� 1".
- - l��3, ]�eY�-�M1+wCi'_I.�• �x����d.',�ila�".',_"4i `•� W.l•B�ia.. �. -
'�.
. - ���t� "'� y'�. kyr;r Y �. i. 'fY�� � '� a �j• __
S ?
- 39±
t
22.3
_ 132$6• -'._ .-
• 4
I HERESY CERTIFY THAT THE ABOVE IS A TRUE AND OORPIECT PEAT OIC,A SURVEY. OF A Mortgage Survey
9
7 S�
Lot -1S block:.:1.f'T:emple ,Terrace -2nd Addition.
Anoka' Countg,Minn�ti=`'`
r r,
_ Vt
' .r� ✓,ahs*.; ffi e,` ..
AS SURVEYED BY ME. THIS' 23rd DAY DP March'.. =D. 1965 ~
_ lk
'0, SIGNS
i
JACKSON MINNESOT EGISTIt ION No. 36100
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�
4
CITY OF FRIDLEY INSPECTION DIV. _`�. 9S�
Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
"
572-3604 REFRIGERATION AND AIR
CONDITIONING SYSTEMS AND DEVICES
1
JOB ADDRESS 51-7 b d, A V'm ute, AV r,
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$ 30,®O
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
e-11 ,1995
Gas Piping (Needed with new furnace) $ 10.00
$
/
OWNER �.lei%�L� r1 6 L..a,4-� S®S_711 "
Gas Range $ 10.00
$
BUILDING USED ASh G
Gas Dryer $10.00
$
1500
*Air
a5, ob
ESTIMATED COST C;V70 , PERMIT NO. p
1
Conditioning — All. Sizes $ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Oth6rs/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) arm Aird
Trade Name 6, r UanL Size No.Mj� (CoQ
Commercial/industrial-,'
BTU® HP EDR
1.25% of Value of Appl%rlce or Work
$
Fuel Total Connected Load
l
do
a State Surcharge
X50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEES
MINIMUM FEE FOR ANY HEATING1COOLINGNENTILATION
REFRIGERATION/AIR-CONDITIONING PERMIT 15 $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING
Signed
Approved
BLAINE WQ. A/C S ELECT. INC.
13582 CENTRAL AVE N.E.
Rough—In Date
Tel No.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
!l-�'I lem
CHIMNEY AND STACK VERIFICATION
The undersigned hereky verifies that the existing chimney or stack:
s
1. Has been caf, fuyy examined Yes No ( )
Xw
2. Is free fromt or deterioration Yes(f Rj No ( )
3. Has n ejFt, ects lodged within Yes (Sc) No .( )
4. Is secuiy suff
5. Meets ail current Code requirements for size
and total. BTU's connected
6 Has total hefting BTU's of C'O, arc)
All other BTUsd, 40.0, C)
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
BLAINE HTQ. A1C & ELECT. INC
13562 CENTRAL AVE. N.E.
ANOKA, MN 55304
HEATING CO:
Signed By:
Iiat�r.
Yes l0 No ( )
Yes 0( ) No ( )
Yes (4) No ( )
Yes ()Q No ( )
SUBJECT
P
City of Fridley
2 8 6 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
�672-:3 NITY DEVELOPMENT DIV.
1 � PROTECTIVE INSPECTION SEC.
r
a,
�
1 . �
(5bo
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
11/25/98
JOB ADDRESS
517 53 1/2 Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lawrence Larson Jr.
572-9086
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and detached garage 26 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
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
222$
$1.11
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
$74.75
Fire SC $2.23
PLAN CHECK FEE
TOTAL FEE
78 09
SIGNATURE OF CONTRACTOR OR AUT RIZED AGENT IDATE.
WHEN PROP
V V LIDATED THIS IS YOUR PERMIT
A
_l1�
o� �s
..i ��°//"
rGNATURE OF OWNERIIF OWNER BUILDERI If f IDA I
ifLOG INSP
gAfE
NEVA - [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION $ ��
ConstructionAddress: -6.3 A uc . �J.
Legal Description:
Owner Name & Address:, 1-Awkgrjc �. Li4p Sop) 7T/2. Tel. #-7,6
Contractor: 1y154t MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
)(OTHER:
Construction Type:
Tel. #
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.
RG—Ko r ir3oy a r Acttz- kip L)ErAckf�L> G�2a4G zf
rv7-4L. "J�ccAi2G5 =
Estimated Cost: $ 4::If�1 v
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: ? APPLICANT: Tel. # , `"z - 2'08-6
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ S�
Fee Schedule on Reverse Side
Fire Surcharge
$ .J
.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 [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
Building
PLUMBING
Permit No.•
Inspections
RESIDENTIAL APPLICATION
Received By
763-572-3604
CITY OF FRIDLEY
DATE I A YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: 0 OWNER *ONTRACTOR
Lawrence Larson
PROPERTY NAME: 517 53rd 1/2 Avenue Northeast
OWNER/
ADDRESS: Fridley, MN 55421 ATE ZIP
TENANT
PHONE: 7635729086
CONTRACTOR NAME:
SUBMIT A COPY OF STATE LICENSE # CJ EXP DATE
4e; '
YOUR STATE ADDRESS CITY �' r! 0 r STATE,dddZIP s X-f'O
LICENSE WITH . PHONE 7 V033 FAX 2 2 % •' B Z
APPLICATION
PERMIT TYPE
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK
PER MS 1613.665 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. CMis.shouldreflect only.the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor. X.05 =
FORXROJECTS WHERE LABOR EXCEEDS -$500, -FEES ARE BASED ON $10.00 PER FMrURE, EX=.VlIERENaTIEH :FIXT-UM,-•(INDICATE TGTAL
NUMBER OF EACH BELOW)
. BATH SINK/LAV _FLOOR DRAINS —SHOWER _ WATER PIPING
—BATHTUB _ GAS PIPING (NEm crrrumxst) _ SWPAMING POOL WATER SOFTNER ($35)
_
_ CLOTHES WASHER _ KITCHEN SINKWATER CLOSET _ BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15,00 = $
Number of fixtures @ $35.00 _ x$35.60=$ 3S.Oo
TOTAL DUE $
State Surcharge = $ .50
Total = $ O
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 applic n 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 1 o w ' r uires review and approval of plants.
SIGNATURE OF APPLICANT PRINTNAME_ jfZ Ildeiler" DATE 10
— ���,�fif''Y.k�. �YM9 �.�y�}Y.��1„y�,e,4a .v'��$t�� ,Y. <m,.o'. v.�. �3���6 6' IX">�,w m. U&....d«tA' h G i` �. 4fi .PF: !'F•P� '�`.�v y '� i.�,r.
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977