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PRE 2010 DOCS*City of Fridley, Minn.. • BUILDING PERMIT No 4231 �' Date: _�,` .... ....._._.......� ........_._.7_ ............._.. Owner: ......................................................................................................................... Builder ....................... ...:.................... :....._.._..... __....... Address...----------------------_..._......._...._.._- ............ _...____ _ _.__..._......... Address ......._�.................... ..... _..... _.._._.._------------- -------- �% L TION OF BUILDING No.....�....f..... Street .............. .._.....--' e - .............� Part of Lot .......................... _................. ..... ..... _._ Lot-70AAock ............. ................................ Addition or Sub -Division ................................ .......1......" ..... 14— e `° > b Corner Lot .. ....................... _.._.... Inside Lot _.............._.............._...... Setback .�.�....-.�........... Sideyard .1.._.. �...�.�.._. SewerElevation ..... . ........................................... -................................................ ..... Foundation Elevation .................................... ............. .............. _............. .............. _.. DESCRIPTION OF BUILDING To be Used as: •- Ft./ 6. Cu. Ft.Front .4... DeptW?;V."// Height If_ iSq. // O .................--..................................... Front ........................ Depth ................. -/. Height .............. Sq. Ft......................... Cu. Ft......................... Type of Construction ............................................. .... .. Est. Cost.....<.sJf..®.�............ 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 . t 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 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 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 $ MECH. 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. IDR 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. IDR Hot Water .................. 2.50 OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS See Fee Schedule TOTAL FEE ° �® Dept. of Bldgs. Phone SII 4-7470 Locatlon �`�. �T �f • �// l� a/ //d 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. dley,_=nn 1419 _ '195-2 Sind of Building Used as 195— To be completed about "— Estimated Cost, $ �4 Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER. PLANTS—Steam,Water, �N�o C" -4'�6-5 Trade Name 6 Size No - —/®0-0 Capacity /S/q. Ft. E.D.R �B BTU �� jHP. Total Connected Load Sind of Fuer 'rte BURNER, — Trade Name Size No Capacity Sq. Ft. E.D.R, BTU H.P. Sign B- 11 ppn i M -a -m Business Phone No �� irOk D46 7 v Oi 7' �v -' • �' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide ndowsoors Reference Out. Wall Int. Wall Ceiling Roof Floor -No I 19— -2R Rnem I Lpngt6-7/ 9' Width, Height C7' II / m Windows an . oors—Crackage and Area / Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Width eight No. of Lineal f . Area No. of pane pane lights of ccr�ack sq. ft.. af 224 Jae O�YO p Coef. Btu Infiltration 9, 9 Coef. Btu Infiltration �� /0 �(� Floor Exp. wall 3f I-V Glass Net exp. wall ��® �® O Int. wall �® Exp. wall Ceiling / AV7 Floor Net exp. wall Ceiling -41 93 Floor Int. wall ); 04 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 ",°g,, m I Length /Y.9 Width ,,?- Height Windows and D s—Crackage and Area / Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. WidthHeight No. of Lineal ft. Area No. of pane of pane ligh s of crack sq.ft. las ® � B' 494; ✓�o° p Coef. Btu Infiltration -ICoef.1 Coef. Btu Infiltration �� /0 �(� Floor Exp. wall xto Glass Net exp. wall ��® �® JFLM& Int. wall Height, Exp. wall Ceiling / Floor Net exp. wall Ceiling -41 93 Floor Int. wall ); 04 Ceiling Floor Total Btu. ®� Required s . ft. E.D.R. or sq. ins. W.A. Leader area Fl. r 77 Room 1 Lenath9 Width /a = Heiaht9 / Windows and Doors—Crackage and Area 01V / Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. 136 I—V-0 - 1. sCT Exp. wall Coef. Btu Infiltration -ICoef.1 Glass �� /0 �(� Floor Exp. wall Total Btu.Y Exp. wall Net exp. wall ��® �® JFLM& Int. wall Height, Ceiling / Floor / Ceiling -41 93 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area REAPOLIS. MINN. Insulation Kind How. Applied RMm I Length 141 ® Width /.5 ®Height Windows and Doors—Crackage and Area 01V / Width HeightNo. of Lineal ft Area No. pansof pane lights of crack sq. ft. -Of Exp. wall Coef. Btu Infiltration/ [:W27 Glass �� /0 �(� Floor Exp. wall Total Btu.Y Exp. wall Net exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �® JFLM& Int. wall Height, Ceiling Int. wall Floor X Ceiling 6 ,Ss Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l;0�. mlLengtIVZO Width Heigh; ?/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane o1 pane lights of crack I sq. ft. Infiltration 01V / Glass Exp. wall Net exp. wall r"' Int. wall Ceiling �� /0 75 6 Floor [110-5/d Total Btu.Y Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area JFLM& RoomiLength ' ; Width— Height, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack SQ. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor ); 04 Total Btu. '5361 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Cv= Fitting Pent Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location p Y z �i re y z QQ " o� z O J � a W z� (� Z z � u F N WATER HTR. GAS ELEG Base 1st r 2nd _ 3rd 4th • Future Connection Openings I New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ L? �- Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... 4 x 2.00 $—, ' O O New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................—Z x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ _ TOTAL FEE 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. c/4� �� 19 Kind of Building 6� Used as :� To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH N O V 2 7 1959 FINAL az 2M 7-84 51 Bym. Business Phone Date: Owner: Addres City of Fridley, Mims I ILDING PERMIT Builder Address OF BUILDING No. T R-A.X.e 6'0�) Z. street Part of Lot----, _......-_--• Lot Block ............. . ........................ Addition or Sub- ivisi .. ........ Com .. Corner Lot ................................. Inside Lot ................... ............... IdMack Sewer Elevation ............................. .. - ----------- - ----------------------- Fot Zation 99eyard .................. Elevation. ... . ........... ... - . ........ . ... ................. DESCRIPTION OF BUILDING TO Front Depth Height A46 ......... Sq. Ft. Cu. Ft. ,b _....... .._... .................. . .............. Front Cu. Ft . ..................... .................. Depth ................ _,w, Height Sq. Ft. ..................... Type of Construction Est. 4s;l ...................... 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. A.. ........... In consideration of the payment of a fee of $-7-i� permit is hereby granted 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 within the city limits and this permit may be revoked at any time upon olatio" any of the provisions of said ordinances. Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA �j Owner Ia Name r/ Builder Address C4- /" l � Address LOCATION OF BUILDING No. Jr �7 Street Part of Lot Lot �t� � , Block � Addition or Subdivision �° -�� `� l L Corner Lot Inside SEWER ELEVATION "11 -Side -Yard ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front_ Depth6. Height Sq. Ft.Cu. Ft. 3 S C� Type of To be Completed Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost % 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 d representations stated in this application are true and correct. DATE SIGNATUAE 0 (A Schedule of Fee Costs can be found on the Reverse Side.) 0 LM xum',* BlOCK "DBZ.%S vAlg&TIW -7.S-o 02 ............ ......... ...................... ...... ... ........... ............... ............................. ......................... . ...... ........ . . ............................... . .......................................................... Property :dMe 4 A &V 0 Q rv.,f4 If 1> leg A) ............... ....... ......... .....-9.................. Lane ... ..............................0....... ..................................I...._....................... City of Fridley Application for Plumbing and Gas Fitting Perndt Dept. of Bldgs. Phone SII 4.7470 , ` DESCRIPTION OF WORK f�/--'— �/� Number, Kind and Location of Fixtures Loon PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................Z x $1.50 $ Z'�` Future Fixture Opening ......../........ x 1.20 $ �? 8 0 �z 3 O5g Catch Basin ............................ 0 �U 1 0 z • F • N WATER HTR. GAS ELEG $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 o U. Additional Fixtures .................... x .50 5 Z (�9.'d $ (�9 0 Ba e 1st 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer New .Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................Z x $1.50 $ Z'�` Future Fixture Opening ......../........ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 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 . 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 ague and correct. j F)idley, Kind of Building Used as'-r� To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH FINAL ax 2M 7-34 18eC . City of ,ddley 7 ba`�;atC:'ig Dept. of Bldgs. phone 530-34W Dsscmpnon Oc V101T 1tumb4r. Kind a-nd Lccrticn of Ftmtsres . • ru:=* Cr.—O'. 'n Com; airy t ?t4.0 Fiz:•nro. Old G;.s: -c% savor Cczzpcol Owner PAP.TIAL RATE S OHEDULE LUMBING FIXTU?£ RATES: 110. RATE 'TOTAL Nurr,ber Fixtures ................ — x 82.00. $ ' Future fixture Opening ............ WATr4 wTK. $ . -• tiew Fixture Old Opening.....:.... ___ x 81.50 Catch Basin .................... {I znC 5 7 7 < Watcr Beater 'Up to 99.000 BTU) • • • • w GAS ncc. x ;3.25 5------ E''&ctrte Vlatar Haatar.....:........ s :2.CJ 2AS FITTING FEES: Ti O. RAT:: TOTAL 1st 3 Fixtures ..... ........... x S -.CO S Additicnal Fixtures ....... •....... - ------ x $ .75 S — Gas F.: --&e to 199.000 B;U ........... ----- x L-----=-- Ea:r I.^. 3rd • ru:=* Cr.—O'. 'n Com; airy t ?t4.0 Fiz:•nro. Old G;.s: -c% savor Cczzpcol Owner PAP.TIAL RATE S OHEDULE LUMBING FIXTU?£ RATES: 110. RATE 'TOTAL Nurr,ber Fixtures ................ — x 82.00. $ ' Future fixture Opening ............ x 51•50 $ . -• tiew Fixture Old Opening.....:.... ___ x 81.50 Catch Basin .................... - -- x 83.25 $ - �• Watcr Beater 'Up to 99.000 BTU) • • • • x ;3.00 $ .New Ground Run Old B!dg.......'. • x ;3.25 5------ E''&ctrte Vlatar Haatar.....:........ s :2.CJ 2AS FITTING FEES: Ti O. RAT:: TOTAL 1st 3 Fixtures ..... ........... x S -.CO S Additicnal Fixtures ....... •....... - ------ x $ .75 S — Gas F.: --&e to 199.000 B;U ........... ----- x L-----=-- City of Fridley.. The undersigned hereby makes application for a permit for the- work here specified, agreeing to do all work in strict accordance with the Cit? Ordirar.: and ruling of the Department of Buildings; and hereby declares that all Lhe f:.( and representations stated in this application are true and correct- Fridley, Minn 19.._, Kind of lding Used as To be completed about Estimated Cost, $ RLIN e w. lluUing Permit No. Signed % - • By -- Busim ns Phune No ROUGH FINAL, la -12- ^27 P.:.PMRS & ALTERATIONS --Fater to Coda .50 State St1iCh3rg2 TOTALISE s �4 SUBJECT PERMI City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 24085 Ir • _ COMMUNITY DEVELOPMENT DIV ---- PROTECTIVE INSPECTION SEC r 1 � � 1 CITY HALL FRIDLEY 5$432 NUMBER REV DATEPAGE OF APPROVED By L 612-571-3450 910-F15 4/18/96 JOB ADDRESS 537 54 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20A & 20B 1 Lyndale Builders 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patty Luethur 537 - 54 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greg Wills Exteriors 4246 Royce St NE, Columbia Heights MN 55421 788-0529 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit/Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Provide ventilation as per 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 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 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 $1,100 $ .55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC "CITY" $39.15 SIGN EONTRACTORQRC'AZ RIZ.F�GENT IDATEI WHEN PROPERYVALI ATED THIS IS YOUR PERMIT Is/y'. //l �/s/// I DG INSP DATE SIGNATURE OWNERIIF OWNER BUILDERI IDATEI NEW [) Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: ��:3 -� 'Z�/ z:- Legal Description: Owner Name &Address: Z!r-n/j L vt fi"19- Tel. # Contractor: �(� &C/ C. ( (--� Ey-rZ15eQ * 0 /eS MN LICENSE # Address: �f o`Zcf lO gv `1 c G S 7- �C Tel. # 'i J9 0,5-- -,-1 9 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: ,4Lum ; nu in S o lcr-I M -0- �— Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: - `�� zd-j641 Tel. # " z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ % 0 ° Fee Schedule on Reverse Side $ 00 0 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ - $900 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 [ py SUBJECT PIORMIT NO. City of Fridley 27087 AT THE TOP OF THE TWINS P,RECEIPT BUILDING P E R M I T Ir NO. 116 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 .� 612-571-3450 910-F15 8/10/98 JOB ADDRESS 537 54 Ave 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20A & 20 1 L ndale Builders 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patricia Luther 574-0353 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Meyers Construction 11430 Jon uil422-A921 20()935RR 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 X$ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2001 $1.00 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. $74.75 Fire SC $2.00 ,�i) PLAN CHECK FEE TOTAL FEE P P /{' J/ License SC $5.00 $82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEPT (DATEI WHENN�/PROPER VALIDATED THIS IS YOUR PERMIT � 1/ry BubG INS MATE SIGNATURE OF OWNER 0 OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: S �� -! A Veh-/Gl Legal Description: Effective 1/1/998 Owner Name & Address: 0.°i r, \C ► c,+. V �Q,f Tel. #- , �5 Contractor: MN LICENSE #2000 Address:S4 /V \41 Tel. # 7 �2 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: Construction Type: Length Length Length DESCRIPTION OF L%IPROVEMENT Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. . STIPULATIONS: `�. (Fee Schedule on Back) Driveway Curb Cut Width Neede' • t. '+6 Ft = Ft x $ _ $ DATE -,a -2C APPLICANT: IL1. # CITY USE ONLY Permit Fee $ 7, ° Fee Schedule on Reverse Side Fire Surcharge $ UCS .001 of Permit Valuation (1/10th%) State Surcharge $ /,Q0 $.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 $ . STIPULATIONS: CITY OF FRIOLEY INSPECTION DIV. 1 15) 'J % - 9 (O Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL S30.00 S=bO S10.00 S $10.00 S, $10.00 S *Air Conditioning - All Sizes S25.00 All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE 5 S S .50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE S42.00/Hr 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. /W FA I� JOB ADDRESS .537. - ..54t� /2W. /% 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. 1090 OWNER BUILDIIS ESTIMATED COST PERMIT N0. / DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_, Circle One (Steam) (Hot Water) arm Ai Trade Name AM,41zlA Size No. ](BTU HP EOR Fuel /3y. Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By�) �i1 �1 Gc �t �/ Tel No. Approved By Rough -in Date Final Date FILL OUT BACK SIDE AR STACK VERIFICATION ON REPLACEMENT FURNACE 0 sueJEcr P City of Fridley 33977 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _-___ r PROTECTIVE INSPECTION SEC. oe I REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 1.;UMBER 910-F15 10/17/03 JOB ADDRESS 537 54 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I 20A & 20 1 Lyndale Builders 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kristopher Long 537 54 Avenue NE 763-502-7723 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 O NEW O ADDITION ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install egress window 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. Caulk and flash all exterior openings. Window to meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $1 125 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .S6 DOES NOT PRESUME TO GIVE AUTH ITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST R LOCAL LAW REGULATING CON- STRUCTION O7THE FORM C OF CONSTRUCTION PLAN CHECK FEE TOTALF $4 48 . IAE OF CON-PAC A OR AUTHORIZED AGENT IDATE1 E FIPROP VALIDATED IS IS%Y�O(UR XSIG e�RMIT B DG -NSP T� E ATURE Of OER �,F NER BUILD iDATE, W W 0 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [; ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: S3 7 sy 7--� /1 VC IV E �' `�� % mw , s Sy -z- Legal Legal Description: ,4ynda 1P. V, %�� f�`ti A01di'//'o17 Cl If Frl' APs/ Lofs 20.4 1,�D6 Owner Name & Address: %%i`51��e® �o oz 4 Tel # 3 - �° °� - a 3 Contractor: — Ivel — MN LICENSE # L Sao- y7 P ,t7s-Syy Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 13 ` Height �% I Sq. Ft. /30 -f/ ti Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 1J.2S' Construction Type: ��N�Sy �'"d�F'' Estimated Cost: $ (M A-r—e- t�f) era -Y Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: APPLICANT: e5 is 1 s Td Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ 30 Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ SAO $.50/$1,000 Valuation $ $1275 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 [ ] �m� Kris �Dv►A : pro per+y Acv,eS" 1 -,r LaC`•i- O*l P�oPo�� w ( E� pegs oe V 110 /� 41 0 937 546 Ave Nr Fr;4l ey , M N SS 'I 2I -s- �; 9 ib 41tE 13rdrof -� �afA R drva.,, K1k4rn 7-71 Z—► 13' N / EC -f / Zy •, � �,��r• F �to r- " M-4E#V r sry`E WI#V D®vJ 4A)0C-Qs0IJ P/ ti : GW 1 Lt wt11 �f''hP•15is�f