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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMff Date: . J..� ., ' ..$ ........... owner ....................................... Address ...................................... 01 0 N® 3506 Builder . ... .... .. ` .... Address .......... U................................ •�^ LOCATION OF BUILDING No. �!® ... Street of Lot .. .......... ......� Lot ... 6 ...... Block .....:Z.......... Addition or Sub -Division ��......... . Corner Lot ............ Inside Lot ............ Setback ............ Si yard ........................... DESCRIPTION OF BUILDING To be Used .. ... Front . l.� . Depth.! p Height !. ~ Sq. Ft. �Q .I..� Cu. Ft. .................... Front ........ Depth %�... Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... mat. Ca t.®�........ To be Completed ............ In consideration of the issuance to me of a permit to construct the building desribed 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 $.�. ., permit is hereby graded 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ..,r. .......... 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 item& APPlication for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs.& Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule VENTILATING SYSTEM GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 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 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Dept. of Bldgs. Phone SU�t7470 Locat£o City of Fridley: 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 facts and representations stated in this application are true and correct. Fridley, Alinn 195— Owner �-, 0 �S 195_ Kind of Building--/S//r C5,L 195— Used as %2 c 2, //16 To be completed about Estimated Cost, $� Old Ne . Building Permit No.A�`d DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name (f (f /�/� A 445 Size No .11� eA 01107 f Capacity Sq. Ft. E.D^.R BTU lee /fes ZI.P. Total Connected Load .3 7.2 ,] ® Kind of rue] BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. �.- Sign ly -4110�111 POST IM -12-58 Busines one No—4 City of Fridley Application for Plumbing and Gas Ming Permit Dept. of Bldgs. Phone SII 4-7470 �J DESCRIPTION OF WORKP /. Number, Kind and Location of Fixtures Location ay�f/ y S 3 y PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... $1.50 $�, Future Fixture Opening ................--� x 1.20 $ �r New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ . Water Heater (Up to 200,000 BTU) ...... x 2.00 $--2, -" 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 ................................................$ 1 TOTAL FEESs • R City of Fridley: 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 facts and representations stated in this application are true and correct. Fridley, Minn e19 Owner 19 Kind ofBuildinng' 18— Used as Lw To be completed about 3 r Estimated Cost, $ Floe e Ol Ne wilding Permit No > 6� Sign LOND"i''9 PLU"'BMG Co. s Business Phone No Connection Permit No. .................... /-2OY 6wz 11 IM -8-58 Water Sewer Meter Deposit &-p � a = z Z y WATER HTR. 3Ci m�F w i� C� iri a� U 63 V' nd (�'J 4a (�90 F N GAS El EG Base f 1 1st 2nd 3rd 4th ' Future Connection Openings Connected with New Fixture, Old Openings Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... $1.50 $�, Future Fixture Opening ................--� x 1.20 $ �r New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ . Water Heater (Up to 200,000 BTU) ...... x 2.00 $--2, -" 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 ................................................$ 1 TOTAL FEESs • R City of Fridley: 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 facts and representations stated in this application are true and correct. Fridley, Minn e19 Owner 19 Kind ofBuildinng' 18— Used as Lw To be completed about 3 r Estimated Cost, $ Floe e Ol Ne wilding Permit No > 6� Sign LOND"i''9 PLU"'BMG Co. s Business Phone No Connection Permit No. .................... /-2OY 6wz 11 IM -8-58 Water Sewer Meter Deposit &-p � City of Fridley, Minn. BUILDING PERMIT NA115 Date: Owner: �r f ,c ' Builder Address Address LOCATION OF. BUILDING. No. -Street t m Lot _ Block Addition or Sub-DivW �— f Corner Lot Inside Lot Setback Si and Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING a Front Depth Height _ Sq. Ft. cu. Ft. Z�",t Depth ei Sq. Ft. Cu. Ft.Typeof Construction Est.. 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 is compliance with all provisions of ordinances of the city of Fridley. 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 eFress condition that the person to whom it is granted and his agents, employees and workmen, in all work doneFridlMinnesota regarding location, construction, alteration, maintenance, repatr and moving of buildings within the city limits and this permit may be revoked a1 any time upon violation of any of the Provisions of said f 11110 r r NOTICE: We permit don not cover the construction, hataWen for wiriay, phmibhro, gp hattag, sewer or crater. Be sun to see the Building Inspector for separate pera to for thea Mena. 7 LOT_ & m, 17are 1- V. 10rl'14 SIZE _216�X� BLOCK ADDRESS :57 '6 VALUATION ADD. TYPE A za ♦M) ex's.t. Wl?/If 1. - 0 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 SEVER 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 Depth 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 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). r �' pfflc man w Po= , Sg and Neon tiiw, ctang. venaftflam. newpmftz ad Air camaNa-ming 5PT=M mad DevIca PARTIAL RATE SCHEDULE f3IIIAVM WARM AM: -MTZ TOTAI. Furnace Shell & Duct Work ... ..... .. $10.00 $ ReplacLment of Furnace 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. 9500.00 300 ; = Kzc3L WAM Am over 199,000 BTU See Fee Schedule FLrnace Shell & Duct Work to 130,000 BTU ..$10.00 $ . each add. 60.000 BTU . ......... 3.W i Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ ' Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. KDR Steam $10.00 $ Furnace Shell & Line to 640 sq. ft. EDR Hot Water 10.00 $, Each add. 200 sq. ft. EDR Steam xnn $. Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to M,080 BTU) &00 g � over 199,000 BTU See Fee Schedule CAS FITTING FEES: NO RATE TOTAL Ist 3 Fixtures 20.0 $ L Additional Fixtures x .76 Gas Range to I.N.0M xe 5.W $ — State Surcharge .50 &IB G®IITBOG : FM &TEAT= STRT= gas Few ffieLiamlo STUTM AL rE ir�I� oTAL rm */7, -53 City of F ddley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinancer- and ruling of the Department of Buildings, and hereby declares that am the facts and representations stated in this application are true and correct. Frid,ey, inn Kind of Building Used as To be completed about. � P aZ/ Estimated Cost; $ Z OI New. Building Permit No. _ _ Permit llr'iI� ®F WORK- i dpi r Trade Name (2,Z � , Size NoZ2!: ,B _-3 00 Capacity--_. .— Sq. Ft. E.D.R BTU E.p. Total Connected Load �LT� . � � of Fuelo BURNER — Trade Name— - Size 10tH_ Capacity Seg. FL EM R B14J I� t2204aaas-4ml 01 SUBJECT PER. Cityof Fridley 14323 AT THE TOP OF THE TWINS PERMIT BUILDING ECEIPT NO. V -------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---- • ,'J 812-580-3450 810-F15 8/25/77 I � JOB ADDRESS 596-533� Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Temple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Stacy 596-5331 Avenue N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E., Npls. 781-9548 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 XO ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum siding and trim and insulation 9 CHANGEOFUSEFROM TO STIPULATIONS 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 ] ISTALLS 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 $5,000 $2.50 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 RFOR ANCE OF CONSTRUCTION. $30.00 _ PLAN CHECK FEE TOTALFEE 1L $32.50 SIGNATURE OF CO T ACTOR OR AUTHORIZED AGENT (DATE) WHEN PRO ERLY/'-VI[9�ALnID,/A�TEED THIS IS.Y}/O�(UR PPEeRMIT/]op�� A BLDG INSP It DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNERX-11 C: 148-8-0 -S 1 ;2i 0 BUILDER: ' "� C-- d-, n • f`h%" �� Address: S l `� �� 0 C J�Lddress : �2 S' I j � ,r No.:J �� dtreet: '�j LOT: Cd 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 these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: h�tf d .�r �,i .._, �� (�; ,w— Estimated Cost: $ -� ?� G� s �, � �4T i a •� To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (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 are true and correct. See reverse side for additional information. DATE: S ` Z 1�- ' 71 SIGNATURE: No i Stipulations: SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT CREC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1�t 1 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/4/84 JOB ADDRESS 596 - 5311 Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Temple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dick Stacy 596 - 5331 Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. George B. Johnson Const. 411 - 70th Avenue North, St. Cntr. 566-2351 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 Reroof House and Garage 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the.2nd layer but not 3rd. Install ridged galvanized valleys where necessary. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Fiberglass 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 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,500 $.75 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 OVIS NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S U IO OR THE PERFORMANCE OF CONSTRUCTION. $25.00 PLAN CHECK FEE TOTAL FEE $25.75 .� SIGNATURE OF ONT ACTOR OR AU HORIZED AGENT (DAT) WHEN PROPERLY A DATED THIS IS YOUR PERMIT ♦• BLDG INSP F t5jTE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 R-1 AND R-2 ADDN. [ ] ALTER. [ ] Building Permit Application 1.3 / 4 w_ Construction Address: 2 A Legal Description: e ' Tel. # Owner Name & Address: Contractor: —� j Tel. �} Address: 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. OTHER: =X9 1h( Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:// �� Estimated Cost: $ ��U Approx. Completion Date: 7 -- Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation �� DATE: 6 -APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ZS; 00 $ (� 6-, 76 - Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PE City of Fridley 17976 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT NO. COMMUNITY DEVELOPMENT DIV. /_ p PROTECTIVE INSPECTION SEC. /z/ & O y `.-•. , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 5/14/85 JOB ADDRESS 596 - 53h Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 TTmple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Stacy 596 - 53-'� Avenue N.E. 572-9021 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ken-Kote RWWXXX Contractors 151 Silver Lake Road, New Brighton 636-9727 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 8 DESCRIBE WORK Construct a 12' x 12' Screen ;Porch Addition and a 12' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS REQUIRE RSIGNS- SEPA RATE PERMITS AND WARNIR PLUMBING , WIRING, HEATING, Before digging call local u lh lE TELEPHOW= ELECTRIC - GAS W. 'REQUIRED BY LAW 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 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $3r 600 $1.80 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 CTION OR THE PERFORMANCE OF CONSTRUCTION. 1 P AN CHECK FEE TOTALFEE $11.13 $57.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PE IT BLDG INSP fiAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW 7i City of Fridley Effective 4/1/84 ADDN. ] R-1 AND R-2 ALTER. [` ] Building Permit Application Construction Address:-5- ddress:7l'cl e. 6 3 i a - ��. Legal Description: a f Q ja/d e is z T gez o!e�%' ` f �� Q c A Owner Name a Address: lk'r' ^ W a _ Tel. #-572 - Z� e Contractor: Ao f -a _Tel. d -992- Address: 992.Address• J 'Tla -e Law kr- Rid a AJAE-i Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DATE: 6- / 3 $°5A APPLICANT:'0-u - � ( Tel. # 63 4a " 9�2 CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side Plan Check $ fl I°wZ 25% of Building Permit Fee State Surcharge $ �o$•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sever !'lain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: DESCRIPTION OF IMPROVEMENT t TV MG=ARQ:,. Length Width 2- Height _ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width /_2__ Hgt/Ground ;:2.' Sq. Ft. % Y OTHER: Corner Lot [ ] Inside Lot,pl't Ft. Yd. Setbac Side Yard Setback Type of Construction: 14 6" Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 6- / 3 $°5A APPLICANT:'0-u - � ( Tel. # 63 4a " 9�2 CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side Plan Check $ fl I°wZ 25% of Building Permit Fee State Surcharge $ �o$•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sever !'lain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT PE City of Fridley 2 2AlAT THE TOP OF THE TWINS g U I L D I N G PERMIT r REC O. 1COMMUNITY DEVELOPMENT DIV. --------9V fr PROTECTIVE INSPECTION SEC. am r I ; �7� NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 58432 612-571-3450 910-F15 9/11/98 JOB ADDRESS 596 531 Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Stacy Same 572-9021 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pleasant Valley Homes 243 Revere Ln ham i 701-4341 20131520 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 L1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (30SQ) 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 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 ISTALLS 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 $2,571.00 $1.29 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 P ISIONS OF A Y OTHER STATE OR LOCAL LAW REGULATING CON- $74. %5 Fire SC $2.57 R CTION OR TH RFORMANCE OF CONSTRUCTION. ® PLAN CHECK FEE TOTAL F E M: L e C $5. $83.61 SIGNAT OF CONTRACTOR OR AUTHORIZED AGENT IDATEI er ENP S IS Y PEWIDATED BL gp 2PEMIT MATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: S ci Legal Description: Owner Name & Address: STCCy S?6 S3Yz qo,- too Tel. # S72 -c/o z / Contractor: plea -56"T (jca." LL.'e o MN LICENSE# z6/ 31 SZ Address: 2 L13 Rellerc LC,1-%-e e"12((-! )IX) 5-5316Tel.# %( c%3yl Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. V- Y f Construction Type: ��(�- Qe Poo-FEstimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ' �� ! S APPLICANT:10",4 k4mzL Tel. #70/- Permit Fee $ 91!- %S' Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ Com/ 6 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING. PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required WYes () No Type- $15.00 q,s S3`/L nave A Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ �j.50 C TOTAL FEE $ C { o JOB ADDRESS 5-q G '53'/z /q oe tv. e 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner 1\ I C Building Used As Estimated Cost PLUMBING C SIGNED ley Approved By ) '1998 14 PERMIT NO. / ,�3_�Y TEL N0. cJ _Final Date�� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. Permit No.:Building PLUMBING - Inspections RESIDENTIAL ,APPLICATION Received By: L 763-572-3644 CITY OF FRIDLEY Dat': J U 2 fl DATE July 6, 2007 YOUR E-MAIL ADDRESS wnelson0larsOnplumbing.com SITE ADDRESS 596 - 53-1/2 Avenue NE THIS APPLICANT IS: Q OWNER ®CONTRACTOR PROPERTY NAME: William Stag ADDRESS: 596 - 53-1/2 Avenue NE CITY Fridley ^STATEMNzip 55432 OWNER/ TENANT PHONE: 763/502-6748 CONTRACTOR NAME: Larson Plumbing Inc STATE LICENSE 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS.. 3095 -162nd Lane NW CITY Andover sTATEMN zIP 55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448 APPLICATION PERNIIT TYPE M SINGLE FAMILY D TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NES''' Ig REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, 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 FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS _SHOWER _ WATER PIPING _ GAS PIPING mw a7yuc=4 _ SWIMMINO POOL _ WATER SOFINER ($3S) —BATHTUB _ CLOTHES WASHER —KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) DISHWASHER ~ LAUNDRY TRAY X WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER :`:; r�i'ly`cyA;:•',•'1,?i,' uy:.`: i`q'a. ,;ti.�c,!fil..,.['�� a• ;�'. ,,�., ;... .t... •t:: :r 'T51?:. 2:'_rf:7..;.z'r, ..r - .,rt,x •:%1 a'':3k.%''•1R11%`%Cit.:Pb7E`I$'OR�;$�.0 . •'. ri f' ` �V.7.Ci �r'`%;iI YN"x:.•,fi:•'.MA::�..:.:UnY,..h� r7.). ..Yrna ..� Permit Fee. $ 35 00 Number of fixtures @ $10.00 x $10.00 = $ Surchar je .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 3_.50 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-140T 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 cas o ll which r uires eview and approval of plans.��I��! . t SIGNATURE OFAPPLIC PRINTNAME Wen Nelson DATE-�� v 1 i ....... --JfJil..f5 •f'! -t r r - i tif., r..�w �b�.��y,�;.. .�*,y��, �+�,, •t ::�H;�.•.;.yl., yy�ayc �; � - }": .1y31Tii4�t14r' ��..W.�°h`L.?i;:��;: ;:: zyyiv�'��i1`�u�ild�..�i+..'��.'.�FI`1�k2r%'�"r�{t'Y�'••';I'J'S'Y7��'Yl��S'lC�iiiL�:G�:lJ.3:l.'<T.'�dtiii.V'.4(l�li�lr].i'"_'T.'-.,"i,.r�L'.J;?...,.......r�.,,.,_....... ... City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977