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PRE 2010 DOCS1� Date Owner Addres M s BUILDING' PERMIT Village of Fridley, Minn. N° 7 ..... ............. . ��.�....... ........... 2Q35 Builder ....... .. ................... Address ....f57 LOCATION OF BUILDING No. .. 4���..... Street .... ./.Z... � ............ Part of Lot ....................... Lot ..Ifr ......... Block ...... I......... Addition or Sub -Division .. .. Corner Lot ............ Inside Lot ... V ... Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: PP ^ .':�....... Front ..� Vie.. Depth . Z Z^ Height ......... Sq. Ft. 11.1 4J - Cu. Ft. ........ .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... Type of Construction .. r&"i—C .. Est Cost .....I.44,500 ......... To be Completed ...1 //0 t -k%-4 V..... 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 village of Fridley. in consideration of the payment of a fee of $.I� �/�Fpermit is hereby granted to .6...4a! t.l.. . . r& UV. 9/ ...... to construct the building or ad dition 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 tenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any e u n violgtl�nA any of the provisions of said ordinances. I I I A ... 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. City of Fridley, Minn. N° 8992 • BUILDING PERMIT • Date: AUGUST 31, 1966 Owner: LEO SWARMER Builder STATEWIDE CONTRACTORS, INC. Address 557 - 532_ Avenue N. E. Address 4221 Excelsior Blvd. Fridley, Minnesota 55421 Minneapolis, Minnesota LOCATION OF BUILDING No. 557 Stmt 532 AVENUE N.E. Part of Lot Lot 18 _ Block 1 Addition or Sub -Division TEMPLE TERRACE, 2ND ADDITION Corner Lot , Inside Lot g . Setback Sideyard Sewer Elevation — _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 10 DET. GARAGE Front 22 Depth 26 Height $8 Sq. Ft 572 CtL rt 5,72 Front Depth freight Sq. Ft. Cu. Ft. Type of Construction FRAME Est. Cost _ 1 9 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 in compliance with 21 provisions of oidiaaaces of the city of Fridley. In consideration of the payment of a fee of $-6 - 00 , permit is hereby granted to STATEWIDE CONTRACTORS, INC. to construct the building or addition as described above. This permit is granted upon the exps condition jbultl :jIZdonj to we inround and ing, oFridley,innesota rn, conwithinthe city Iimitst may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building IIIspector NOTIC& M pumb don net cors the candmedon, hoWlstion for wbing, plumbing, gn beating, awe w wmr. Be am to ae tin Building lespeator for "punts permit for thea hem APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �'""� ���®/" �- BUILDER ADDRESS ��� ��� //,/ ADDRESS LOCATION OF BUILDING NO. STREET 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 ToDe used as; Front ��� Depth Heigh Sq. Ft. L7 Cu. Ft•.=f Type of Construction` To be completed Front Sq. Ft. k *'Y L Depth Height Cu. Ft. q Estimated Cost / / ®o 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. (Schedule of Fe#'Costs can be found on the Reverse Side). 0 Mortgage Associates Inc. .iz o 6w ame r F. C. JACKSON LAND SURVEYOR 0 r . 2064 ::204 -3rd REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3616 EAST 55TH STREET PA. 4-4681 7J 4 ?i N _�) •Hve. IN. I=. I HERESY.CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY OF Wlo rtF,ap,;e Survey -got 13 Block 1, oa-mple Terrace 2nd Addition. Anoka County,�inn. AS -SURVEYED 13Y ME THIS 13 thl DAY of Aqz. A.0. 19132 SIGNED - 1 -G v 11,'Vr L7 � F. C. J CKSON. M NN¢SOTA RE ISTRATION. No. 3600 i • City of Fridley_ AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT Wr 18919 r Lu _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i i --•_� ��"' "•j CITY HALL FRIDLEY 55432 L 612-571-3450 RECEIPT NO. NUMBER 910-F15 REV. DATE 5/4/87 PAGE OF ]APPROVED BY JOB ADDRESS 557 '- 5A Avenue N.E. 1 LEGAL DESCR. LOT NO. 18 BLOCK 1 TRACTOR ADDITION SEE ATTACHED Temple Te-race 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Sw.a.rmer 557 - 531i Avenue N.E. 572-9073 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, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install bay window and bath window 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $11500 SURTAX $.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- PERMIT FEE SAC CHARGE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S PLAN CHECK FEE TOTAL FEE TURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) �„ .VVWEN PROPERzz LY A I A-TED^ THS IS YOUR PERMIT � Y BLDG INSP C9ZJ ATE IGNATURE OF OWNER IIF OWNER ILDERI IDATEI NEST ADDN. [ ] [ ] City of Fridley Effective 4/1/86 R-1 AND R-2 ALTER. [ ] • Building Permit Application Construction Address Legal Description: Owner Name & Address: �`y s Tel. Contractor: Tel. # - Address: 5�; 7 5^ �%z ! &,1-- ti J' 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 �_ Width _____ Hgt/Ground Sq. Ft. OTABR: aa�1®� � t.� L -' Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: ouo FA Estimated Cost: $ ej — ''yQ—P1 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 1� DATE: �® APPLICANT: `per -kl�� Tel. 4 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge TOTAL �$$ ® Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: �� ®1 00U �'b 04/02/2004 FRI 13:21 FAX ELDER JONES _. /`'�`� [� Q001/001 NEW [) CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] -6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILD I G PERMIT APPLICATION Construction Address: cJS - cJ Legal Description_ Owner Name 8; Address: Contractor. _ RMA HOME SERVICES, INC. Address: Home Deopt Installed Sales 3200 Cobb Galleria Pkwy.Ste. #200 Atlanta, GA 30339 763-542-8826 BC -20268257 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: TeL# 1(g3-54@- 90-7-k MN LICENSE # Tel. #i i Certificate of Survey of the truction 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: Estimated Cost: $ t I () C) 0 Driveway Curb Cut Width Needed; Ft. + 6 Ft = Ft x $ —=$ DATE: O'A%W QFC APPLICANT: ) Tel. # qSO - SLiS • (Od4� Call (763) 672-3604 for Permit Few if mailing in application. Fax to 763-571.1287 N using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ 'L Fee Schedule on Reverse Side $ 65% of Permit Fee I • O .001 of Permit Valuation (1/10th%) $ •� - $.50/$1,000 Valuation $ $1350 per SAC Unit $ $5.00 (State Licensed Residential Contradtors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ STIPULATIQNS: PLUMBING RESIDENTIAL APPLICATION City of Fridley P"Ittuber ecei te d By Date Received NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. 1 k -Q�S DATE YOUR E-MAIL ADDRESS SITE ADDRESS 5% 5� tl� /e - THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME UQ StOalrAI L(:� PROPERTY OWNER! ADDRESS SayY'1e--' TENANT CITY f (-ld l STATE Vol ZIP SS 404 PHONE # t7b -3' b a- qO 15 NAME. EJP f)f 0=�W® I( KS LICENSE # 5529 �- Al p 7 ADDRESS 3676 1/o d 9Q - CONTRACTOR CITYSTATE Imo( ZIP S IM PHONE # 1 `` � Llb - I AlfO FAX# PERMIT TYPE _SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 4 -Na -(Z WGiJJL.Y Y QLk FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY _WATER HTR ($35) FOR IRRIGATION WATER METER OTHER - Permit Fee $ 00 MINIMUM: $15.00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ 35•SO Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 Construclion 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 of all work which requires review and approval of pla%n Q NAME OF APPLICANT (�I S o 1er) DATE Please type or print SIGNATURE OF APPLICANT 1 o L.QiYi , Z", isiASRC1 its SEAI�ATI= PERIVJtS �#IiE R�ItIIREDCilt BUIITIAIG� ELEC7R1C3AL Al�][i<1WIEGfA+I1C1�L3NORK? 9 r - CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 ��� (763) 572-3604 H^ O Building $ BUILDING Plan Review Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge Date Recd: , 05 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow DATE IS// 9 4 YOUR E-MAIL DRESS / 5 d ✓S G r��S SITE ADDRESS Jr S 3 va Park Fee THIS APPLICANT IS: ❑ OWNER CONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME: Total Due TENANT _, '"� ADDRESS: .5j 5 AN CITY STATv 4ip K -342Z q/1 PHONE: L % L � " � � 4 � Z 41 0 CONTRACTOR NAME: M D.)" i Z ,o Z o p s ati n -i-, l/i SUBMIT A COPY OF STATE LICENSE # g d S 3 Z 11 EXP DATE 3 3 1 Z O t) YOUR STATE LICENSE ADDRESS: 3 %3 1,J H F CITY M171-'5 STAT&ZIP WITH APPLICATION PHONE ) Z J2/Z FA){ 12' S- Z / PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHE ❑ SWIMMING POOL -�/) ��/ n 4 U ✓l o TYPE OF WORK: ❑ NEW 1§ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: J -)-0 r $�//'t�,., SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 ,90 0, a� OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 5124. / 65% of Building Permit Fee Fire Surcharge $ 1® .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ , 05 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ , 157; 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 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 of all work w c approvalof plans.pSIGNATURE OF APPLICANTVz�= PRINT NAME Pd, 12EIC S fAf C X Fi � DATE Sl// / 1�9 4 THIS JOB COPY SHALL BE AVAILABLE ON THE. JOB SITE FOR THE FRAMING AND FINAL INSPECTIONS ` I -c-i 53 Iz ff AIK� lav f C -�p.� VApcP hzmte I a� o% v dcC446?z 41 tom, awkl am e-cv 1e:os(-?F,z ?, I , D -09d REVIEWED FOR CODE LDG �1 AML Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRI DLEY Date Rec'd: S' DATE 5---2 3 ,Q YOUR E-MAIL ADDRESS SITE ADDRESSS`I 3 AJC THIS APPLICANT IS: ❑ OWNER MQCNTRACTOR PROPERTY NAME (` ei v r LA, OWNER/ TENANT ADDRESS: .5--S-7 e-gr1i a CITY r l t,, STATE .9&z ' gsq;-r PHONE.10� s%�/- vio CONTRACTOR NAME: 'Yh S tka ef(4 SUBMIT A COPY OF STATE LICENSE� S73 C ® P/i'1 EXP DATE YOUR STATE ADDRESS: 61;'.? Cl[Y-,+reQ AiJx- CITY Osseo STATEWZIPS-5-361 LICENSEWITH PHONE %(®?— S?l169-5-c/ FAX ?&yr APPLICATION PERMIT TYPE dWKNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW MMPLACEMENT DETAILED DESCRIPTION OF WORK NL PER MS I6B.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 f»ttures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor 38'1•60 x.05= I V' FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINKA AY FLOOR DRAWS _ SHOWER_ WATER PIPING —BATHTUB —GAS PIPING �carucmao SV RWM]NG POOL _ WATER SOFrNER ($35) CLOTHES WASHER _ Knx3m T SINK WATER WATER CLOSET BACKFLOW PREY. ($15) _ —DISHWASHER — LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee. $ Number of fixtures @ $10.00 x $10.00 = $ S e .50 Number of fixtures @ $15.00 x $15.00 - $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN AM ICA71ON FOR A PERMrr 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 work which review and approval of plans. ] �� SIGNATURE OF APPLICANT PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977