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PRE 2010 DOCSDate Owner . BUILDING Village of Fri �.:. ............................... Address.......J................................. P ;, RMIT il6y, Minn. N° 2258 ss......................................... LOCATION OF B�ILDING .. 0, No. .... j�.... .. Street .....!..�: !. ....1. .... J Part of Lot q� Lot ... i Block .. .......... Addition or Sub- vislon ......... Corner Lot .. .... Inside Lot .... Setback.40 ... ............. r, Side DESCRIPTION OF BUILDING To be Used as: ..:..... Front . ?i: .. Depth Jr't-Height , ! . .. Sq. Ft......... Cu. Ft. ........ .................. Front ........ Depth ........ Height ...... Sq. Ft......... Cu. Ft......... Type of Constructi n ! ... Est. Cost ...... t.... ... ...... To be Completed .............. In consideratio i 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 vllage of Fridley. i, In on ' er of the payment of a fee of $. ':'.. permit is .hereby granted to . .... . • . • ....... ... to construct the building or addition described above. This permit is anted upon the express conditi n that the person to whom it is granted and his agents, employees and workmen, in all work done in, around an upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, m intenance, repair and moving of buildings with- in the village lima and this permit may be revoked at any tim pon violation of any of the provisions of said ordinances. ..1 .. Building Inspector I NOTICE T his permit does not cover the construction, Installation o� alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. i • 0 • City of Fridley, Minn. BUILDING PERMIT N® 6682 Date: Owner: Builder " 2 Address Address ONO BU WING No. 4-�040— Street 0 C.Z-t,&A g— Part of Lot Lot —__ Block Addition or Su - on Corner Lot — Inside Lot __ s� ,Sttback Sideyard—�� Sewer Elevation Foy dation Elevation DESCRIPTION OF BUILDING TO. Front Depth Height Sq. Ft. Cu. Ft. Fro, _ _.....__ Depth ght Sq. Ft. Cu. Ft. Type oT tio 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 Incomfiance with all provisions of ordinances of the city of Fridley. / % X P /� - - UM In consideration of the payment of a fee of �i ., 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 permit may be revoked at any upnon violation of any of the provisionsprovisionsof said / ii � l ordinances. Building Inspector NOTICE: This porn* does not cover the construction, installation for wiring, phnnbing, gas heating, sewer or water. Be are to as the BulMing Ingw for for separate permits for these *era. ol r -% I r LOT N 6611-ou ori 1- SIZE X0 X BLOC � _ADDRESS /(' - 7 �9 � e. A VALUATION ADD. ,f"fc,/TYPE N l G vi 5 d 010 o 1 a— /, r t [ pc/ 4,nc; e Wrf�, �sie O/ /l u.3 e° r;S 7. �+/ ��°.^Sf�7�/ �Q' X ��' U.��iC S�i1✓v Wr�%2 /,'l�S� e+?S S�nw/!. �+� ����►�C� ,L at. ���nJ.or� ,i c•r7i' �c��ks��P! S�rJ�S �y.s� /J/c��/ S /neo � 1rc / c/r •>, ,7 �� @ . f • — — SUBJECT PERMIT NO City of Fridley 15 9 AT THE TOP OF THE TWINS BUILDING PERMIT rp RECEIPT NO. u ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 TREV. 10/1/80 JOB ADDRESS 510 - 57t1i Avenue N.E. 1 LEGAL LOT NO. BLOCK T RACT OR ADDITION SEE ATTACHED DESCR. 20 10 Donna 's Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE David & Margaret Engstrom 510 - 57th Avenue N.E. 571-4187 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 8 DESCRIBE WORK 8 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQU1R �l + I , HEATING, PLUMBING AND SIGNS. wQRNWS sebs dk^V all kC-QUMEDsy L4W TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood Frame 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 384 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 $14,300 $7.15 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- $87.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $21.75 $115.90 SIGNATURE OF CONTRACTOR 0) AurHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT zi, /6/_/A4d BLDG INS11 BATE SIG T REOFOWN RIIFOWNE UILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alferations, Additions, or Repairs) LIJ(-STIoal BUILDER: �i►a � ►�1�a�C�►�a�i t kOa1 ADDRESS • 5 ICS Aq Ci\iuE N ADDRESS: t® 51+17) A*c, .N S- TEL NO: TEL NO: 5-71 Construction Location STREET NO: LC) STREET: �`�A_i-N �y �1��� (_ LOT: BLOCK: ADDITION: Corner Lot: v*" Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION _ Jf� Front: C r T6 Square. Feet: Front: Depth: Cubic Feet: (o 1 Height: C_c) Depth: Height: Square - Feet: Cubic feet: Type of Construction: U_bU'L JA::�' To Be Completed: r�S Proposed Driveway Width If New Opening Is Desired: 1 � 130u Estimated Cost: $� -a- Alt. A Alt. B SEE REVERSE SIDE OF SHEET 7.7he undersigned hereby makes application for a permit for the work*herei.n 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 applicatio re jrue;and correct. DATE: fz , SIGNATURE: Stipulations: :W( jC 3'i ? 1(f, 3Q'( got... J OM i1�9d A , + ± ' Oa ,1 j A '�tl.f •tet (� f a i Ue i° n .A INN 17 a U i •.1 � • ' r r. 4 P. 1 , Tr 0 U01n r, I , 1� C. '� �t i�' • 11 •.1 01 SUBJECTPE O. City of Fridley 19 0 35 AT THE TOP OF THE TWINS BUILDING PERMIT RE � • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ��I� r PROTECTIVE � i1 ` fir---;•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 6/25/87 JOB ADDRESS 510 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 10 Donnay' s T-akview Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Cheurette 510 - 57th Avenue N.E. 771-8405 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sane 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 Install outside handicap ramp and deck: & bathroom remodel 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, ., VENTILATING OR AIR CONDITIONING.t THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. t 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 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, X00 $ r0O 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE A A_ 6A $18.00 1 Roc T nl o R UT oRIZE A I (DATE) WHEN PROPERLY LIDATED/T�HIS IS YOUR PERMIT Iy� 01f , SI NATURE OF OWNER IIF OVOkM BUILD IDATEI BLDG INSP nATE 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. I ] Building Permit Application Construction Address: sl o s- % AJ Lj Legal Description: lkT . :10�01 � �p ' Tel. # Owner Name & Address: Contractor: Tel. $ Address: JV LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] 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. _ / '?W4 -T(, aa4-, kvA O 0 Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: LU0Y-fo C&A�� Approx. Completion Date: Estimated Cost: $ LQ2r6 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: ek P for Explanation DATE: ' APPLICANT: Tel. 7 Y'q&5 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] /00G,00 X00 SUBJECT City of Fridley 1Z 25431 AT THE TOP OF THE TWINS BUILDING PERMIT Ir • ______ COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. t� 1 . � NUMBER REV DATE 8/26/97 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 510 57 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION UEATTACHED DESCR. 20 10 Donnays Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jan/Mike Chevrette 510 57 Avenue NE 571-5830 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO L J Roofing 10151 Foley Blvd NW, Coon Rapids MN 55448 767-1587 9036 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 Reroof House & Garage (27 Sq) Tear-off 9 CHANGE OF USE FROM 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 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 $2,251 $1.13 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- $74.75 Fire SC $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.13 SIGNAT F CONTRACTOR OR AUTHORIZED AGENT IDATEI, PROPERLY VA TED THIS IS YOUR PERMIT &W4EN BLDG INISP GATE SIGNATURE OF OWNERoF OWNER BUILDERI IOATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 510 0 Legal Description: Owner Name & Address: 14 Tel. # Contractor: L-1 40v �^ MN LICENSE # Address: l o (Sl 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 GARAGE AREA: Length Width Height DECK AREA: Len Width Hgt/Ground OTHER: . � �n A le o� _r 71- J77 0 °103 Tel. # 7b 7- IfT7 _ Sq. Ft. _ _ Sq. Ft. _ Sq. Ft. � v Construction Type: tar '9-ff t- re /'oa T Estimated Cost: $ xs-/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ DATE: �2 APPLICANT: Tel. # 7� 7- If -P7 STIPULATIONS: CITY USE ONLY Permit Fee 'rr $ �1, FJ�' Fee Schedule on Reverse Side Fire Surcharge $ . �S' .001 of Permit Valuation (1 / 10th % ) State Surcharge $ /,/.3 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ S-,00 $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 $ P- . I STIPULATIONS: sue�EtT EMITO City of Fridley 343 7 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC, i 1 CITY HALL FRIDLEY 55432 �'' I , NUMBER REV DATE PAGE OF A VE0 By 612-571-3450 910 -FIS 10/2/00 JOB ADDRESS 510 57 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 10 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Mike/Jan MR Chevrette 510 57 Avenue NE 571-0875 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Design Renovations Inc 1128 W 7 St, St Paul, MN 55102 651-227-7044 20078966 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 j] ADDITION O ALTERATION O REPAIR O MOVE O REMOVE B DESCRIBE WORK Construct a 49' x 40' House Addition; a 28' x 26' Garage Addition; and a 12' x 12' Dec 8 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR: WIRING, HEATING MR a PLUMBING AND MGM Before digging call for all utility location 4540002 REQUIRE® 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 MOT 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $180,000 $90.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF Aq& OTHER STATE OR LOCAL LAW REGU TING CON- Fire SC $180.00 STR TIO OR E PERF OF UCTI $1,441.75 PLAN CHECK E TWOT FEE Lice C $5. 0 ,716.75 SI ATUREOFCON'RACTOAORAUTNORIZEDAGENT IDATEi H PR P ALIO Eff THIS I YOUR RMI b I S-GNATURE OF OWNER.iF OWNER BUILDER, IDATEI I BL INSF' r)AIt NEW [ ] Effective 1/12000 ADDN ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: V—/1w Legal Description: Owner Name & Address: Tel. # Contractor: r ?k- MN LICENSE Address: /o�T 4/ Tel.� ap 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 44Q Height Se q. Ft GARAGE AREA: Length_ Width Height Sq. Ft DECK AREA: Length Width IZ— Hgt/Ground_&-/-r Sq. Ft OTHER: Construction Type: �, ,r,� i�� Estimated Cost: /82 0062 Driveway Curb Cut Width Needed: Ft. + t = Ft x $ _ $ 465r f®�/- DATE: APPLICANT• Tel. #�s�'� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �7Jr Fee Schedule on Reverse Side Fire Surcharge $ /�, 00 .001 of Permit Valuation (1/10th%) State Surcharge $ 90.49 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 111911111 STIPULATIONS: $1100 per SAC Unit $ .57 40 $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 [ ] $ /;7/4 - ?-'5- -"' (—'-']E R T T F T C A T E O F FOR MICHAEL CHEVRETTE 510 57th Ave. NE Fridley, MN, Legal Description: 'I Lot 20, Block 10, DONNAYS'S LAK 1t---�-- x x CC,v4°n/ linn� fE.riGE i I Scale: 1'j = 20' o Denotes iron monument Bearings are assumed h � Lf / I ' 6- i �v�u S U RVEY r I JIIEW MANOR ADDITION. i I I I t I 5 sto IVIE 0 M FA4 M6 L / L, or' Zo I A"A i 24 /,a wog 6"xi'I • _ 7�A� - 5�9'o5y-� Nye _ 1 i I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and.of the location of all buildings, if any, thereon, and all visible encroachments, if any, from gr on said land. As surveyed by me this 23rd/day of A gust, 2000. Herb F. emire R S Minnesota Reg. No. 13349 4416 Abbott Ave. N. f Robbinsdale; MN 55422 Phone: 763/531-0497 fCo Aka: hh4"w R�r4."e"r/6 wart ' OArP�40�XRJ3l L%A/6, h' 0 ol 440.610 srve y ; �; I s X3.3 Ge/Sg 01 2.1; i7 o Icy 01 Zri' IVIE 0 M FA4 M6 L / L, or' Zo I A"A i 24 /,a wog 6"xi'I • _ 7�A� - 5�9'o5y-� Nye _ 1 i I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and.of the location of all buildings, if any, thereon, and all visible encroachments, if any, from gr on said land. As surveyed by me this 23rd/day of A gust, 2000. Herb F. emire R S Minnesota Reg. No. 13349 4416 Abbott Ave. N. f Robbinsdale; MN 55422 Phone: 763/531-0497 fCo Aka: hh4"w R�r4."e"r/6 wart ' OArP�40�XRJ3l L%A/6, h' 0 Neck MM HE R4asesats Energy Code P49check Sftm Version 10 YIYLE: dike and Jan Chevrette MEMO: 510 Ft Ave I Fridley 1. COf Moog'. Design 8enooations,lm. 1128 R SePesth St. St Pool., DD, 55102 851-M-1044 Required 2 = 329 Yoor On = 2F 21.11 Better Yhas CA I I I I I PemDit # I I I I I I Chekd byl�te I I I Area or M4 Cast. Glaainqu Perimeter R-Valoe R Valae 0-Yalse 2 MM: Raiff Yross 1888 44.0 44.0 21 mm: Rood Fray, IF O.C. OF 19.0 2.0 81 BE oz. 7.81 ht18.5' 011.8' dssol 1018 10.0 0.0 10 MM, 84sdows or Doors, Aleve Grade 2R 0.350 89 DJC 41 0.350 H CB4BL: Concrete IF ht192° 0110, issol. 0 11.0 D MC MP>4uRY: Furnace, 92.0 M CGRPIIBRCE SSI: the proposed bsildieq dmp d here is cossisteat with the bd# plass, s*imtioos, and other calalat ons sniffed with the pit applicatioo. 2e proposed bsildisg has b w;s desigod to at the *remests,�the knoesota Doery Cade, j All 1,7717w! 1101 P��M&a mvpmpffl�— = (--,41 . E R Ir T IF T CA Ir IE OF FOR MICHAEL CHEVRETTE 510 57th Ave. NE Fridley, MN, A --:-- --- 6 7 �i7 lqaewaa IVIE Legal Description: Lot 20, Block 10, DONNAYS'S LAK Vf Ic S cale: 1 20' o.Denot' el iron monument Bearings are assumed . MANOR ADDITION. M -A 440- 6'1D owe 03.3 -21 2.7 All 2-6 'V -a ------7 L /2'x or 20 A"A a A0, **25 1 WA I hereby certify that this is a true and correct representation of a survey of the boundaries of the above des'cribed*land and -of the location of all buildings, if any, thereon, and all visible encroachments, if any, from r on said land. As surveyed by me this 23rd ay of Augt, 2000. Herb F,Itemire RLS"— — Minnesota Reg. No. 13349 4416 Abbott Avd4 N," Robbinsdale, MN 55422 Phone: 763/53,7-0497, _,,COWAVIe, MAW ' 00, W444 Is CITY OF FRID4EY 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 Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas*` Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance CO - JOB ADDRESS 510-S-7 44 1 vP- N, C FA I'd Le Y 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 /k' IZ . 1,Y7 Ike— G A 'e ✓'-e. 7f -Ac //—/7— ,200c' Imo ' Building Used As Ai; ! Estimated Cost :57, y U 0 , UIT— PERMIT NO. PLUMBING COMPANY L/( Tv SIGNED BY d,.'Y 0 Approved By f LS// Rough -In Date TEL N0. 6jr/- x -17-/V3 Z Final Date ;7 -,26 -(f l State Surcharge $ .50 MINIMUM FEE 4-R ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ •S� PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) C HEATING CO: /� �/LeG�.✓c . Signed By: Date: //-/7— z �� c> CITY OF FRIDLEY INSPECTION DIVISION •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 January 1, 2000 JOB ADDRESS (0 Ak L OWNER AIR. AV/C Ci�eU'ef{� TOTAL // BUILDING USED AS $ 3d� #'571 ,3cr� ESTIMATED COST 7-,y0 • PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_L_ Circle One (Steam) (Hot Water) arm Air $ Trade Name /fit Z- Size No. �r BTU_ Ooo HP EDR Fuel 01S Total Connected Load 100,OOo 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $,� DATE HEATING CO L - Signed TEL # Z -7 - N 3 —Z Approved By Rough -In Date Final Date o� '-2-8-0/ COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (vf No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. es No( ) The undersigned also verifies that the replacement unit is a listed assembly Appliance #3 Type and meets the current codes and manufacturer's specifications. This does Total Appliances include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. es ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. es No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) U HEATING CO: (/ ` T-'' 14e -c`14. yr ,,* L � Signed By: Date: //-/7 - 00 HOUSE HEATING TEST RECORDNumber Street Name St,Ave,Blvd,etc. N,S,E,Vd Address -10—S -7 S -MI 4LA-- No 3s Occupant Suite/Apt # Floor # Property Owner` �i c L if /Ae city — Ime- `720 Sold Bylle M�G�jq-�/< �j��, Installed by / Electrical Work By Gas Line Work by leoT6 c®��L✓G` HEAT Date Heating Type o LOSS Installed �— /— �� Heat orced A Hot Water L Steam Space Heater Lj Unit Heater ❑ Other �L GAS DESIGN Make 0044 F0x4' ,,tA'Ke< Input _ C"0 CONVERSION Make of Burner Model Model &W,< (.)0 N16 Serial# L00yy-3(� Max. BTU Rating CONTROLS THERMOSTAT Heat Plug Make of Furnace Model vent Size a� p o c, z ar Valve Kind of Liner Size None Draft Hood Regulator LimitA1 bre Li it Setting (eQ -Sec— Fan Setting /3()//S-0 Filters: Size Number /- -Pilot Type 1 ' Chimney Location: Inside Outside Pilot Makei 1 S �Q Chimney Construction Pilot Model . ileCTw�1C . T� Pilot Timing S� J Spillage L.W. Cut Off A//AL- Smoke Bomb Wiring Aj oqcc�k Pressure �� Percent CO2 : 076 Draft c)✓vP+ Test TagglA4S / Door Input CFH l G(, 00Percent O2 C70 Pressure Lighting Inst lq� of Temno- V1any %O �!% �4ri1vtE4 L -/bloc TDate ested I -2(-® Stack Temp. `� Percent CO ®� Name of , P CofC Tes er Number /oZA70 C1(7j. ,j SUBJECT City of Fridley d7215 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 6 r 00 E NUMBER REV DATE PAGE OF APPROVED BY _ E /"'1 CITY HALL FRIDLEV 55132 j 763-571-3450 910 -FIS 10/28/02 10B ADDRESS 510 57 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 10 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cheverette 510 57 Avenue NE 763-571-0875 J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Roger Heine Contracting 10000 Abbott So, Bloomington, MN 55431 612-812-0328 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20106910 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install basement egress window within existing opening 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. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,400 $.70 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION NY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION 0 T E P RFORMANCE OF CONSTRUCTION $50.95 Fire SC $1.40 PLAN CHECK FEE TOTAL FEE Lic se SC $5.00 $58.05 SIG NATUR OF N• ACTORO ED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YO R PERRM, T �(' SIGNATURE OF OWNERIIF OWNER BUILDER, IDATEI lOG INSF' FlATE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN (j 6431 University Ave NE, Fridley. MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: % t�� )qy E Legal Description: Owner Nari Contractor. Address: I Lj U v v H .S 1. n v V ED ( UQ M r ei. #[y/ / 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 Wdth Hgt/Ground Sq. Ft OTHER: Construction Type: ice s. -e Vv JO 1,J Estimated Cost: $ 1 14 o o Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: 1® d ;Lr . ° --APPLICANT. _ Tel. #41; 1r,2 03 24 -- Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residerital Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by*Engineedng Agreement Necessary [ ] Not Necessary [ TOTAL $ a . ®s-- STIPULATIONS: