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PRE 2010 DOCS*---a .4 4".. -.1.6 0 BUILDING PERMIT Village of Fridley, Minn. N?' 2783 Date / /� . /0 \? ......... Owner ......... A_w�� ,,azli*�. Builder ....................... Address..................................0...... Address ......................................... LOCATION OF BUILDING No. ...... Street .15. .................... Part of Lot ....................... Lot .../,I ......... Block ... I q........ Addition or Sub -Division UZA . . s Corner Lot ............ Inside Lot .. `....... Setback J Sideyard JV..lftf ......... ... . DESCRIPTION OF BUILDING To be Used as: J".. ... Front 14Q... Depth 2C�rleight �.�.... . .................... Front ........ Depth ........ Height ......... Type of Construction... Est. CosI���f 0�% .......... Sq. Ft. /d. !�V Cu. Ft. ........ Sq. Ft......... Cu. Ft. ........ To be Completed In consideration of the issuance to we 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 conratihe payment of a fee of $,/V , permit is hereby granted to .�& Z= to construct the building or addition as described above. This permit is gralrlted 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 village limits and this permit may be revoked at any tim�upon violatio 1k�rf any of the provisions of said ordinances. 1%nAV: / aY . 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. BUILIDING PERMIT N? 5212 Date: - V. Owner: Builder -.----_ Address Address .. ON VT ILDING No. �r ��r/�r Street --, �- i Part 91 Lot Lot Block _ Addition or Sub- �n.4t� l' Corner Lot Inside Lot S= back Sideyard Sewer Elevation ____ _ Fo dation Elevation DESCRIPTION OF BUILDING Tofie " Front Depth , Height s ,+,, � Sq. Ft. Cu. Ft.+C,� Fr t Depth eight Sq. Ft. Cu. Ft. Type of Construction �y, w Est. Cost , .-.- 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 a'il provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $. permit is hereby granted to to construct the building or addition as described above. This permit is "granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation -o any of the provisions of said ordinances. _ _ Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Nr G h ® 4 a s & eirBuilder ,,., � t.J • 44a -e- r Address ge® —7 , Aue. fv.F. Address S.d1y1� LOCATION OF BUILDING No. Street Part of Lot Lot li Block i d Addition or Subdivision D n h a v Aleeuiyw Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: r �9 RA Front % � / Depth 2 Z Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Ou. Ft. Type of ConstructionRA Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 1-11 -4lSIGNATURE � • (A Schedule of Fee Costs can be found on the Reverse Side.) 0 11 . a a City of Fridley AT THE TOP OF THE TWIN$ r'L-------COMITY CEVELOPMENT MV, �i PROTECTIVE wsfECT*M 09FT. CITY HALL :LUOLRY OME 53-8b -879.01 $UD ECT PLUMBING PERMIT APPLICATION 1 Jon Aaaress 580 N. E. 57th. Ave. Owner Address Phone S. Coffen Contractor Address Phone Kind of Building lUse Frame etion Date 1-11-74 `b Class'12'Am Surcharge .50¢ TOTAL FEE $ 3.50 undersigned hereby makes application for a permit the work herein specified, agreeing to do all work trict accordance with the,City Ordinances and Tulin he Department of Buildings, and hereby declare that the facts and representations stated in this i tine -,o reee true and and correct. gnature Date Res. Estimated os 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 T[1 Y .00 ....:... Re airs & Alteratio��� e Description: Replace Range Code 3.00 State Surcharge .50 Class'12'Am Surcharge .50¢ TOTAL FEE $ 3.50 undersigned hereby makes application for a permit the work herein specified, agreeing to do all work trict accordance with the,City Ordinances and Tulin he Department of Buildings, and hereby declare that the facts and representations stated in this i tine -,o reee true and and correct. gnature Date SUBJECT PE City of Fridley 1717�4� AT THE TOP OF THE TWINS BUILDING PERMIT r 'ftCITIrrN • COMMUNITY DEVELOPMENT DIV. -_____ r � � PROTECTIVE IN SEC. 1 i HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY L 612-571-3450 910-F15 5/27/83 � JOB ADDRESS 580 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 10 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Linda Cassem 580 - 57th Avenue N.E. 571-7218 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. =Kli TTXK ffi L1VxK*y Install ridged galvanized valleys. 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 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 $600 $.50 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50 SIGNAT EOFCONTRACTO RAUTHORIZEDAGENT (DATE) WHEN PROP RLY YAILIDATED THIS IS YOUR PERMIT ' BLDG INSP D f SIGNA URE OF OWNER tlF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIO:d FOR RESIDENTIhL BUILDING PER141TS (New, Alterations, Additions, or Repairs) OtiNER: L BUILDER: J SSI ADDRESS: 6-007 Aj ADDRESS: C TEL n0: TEL NO: Construction Location STRUT NO: 500 STREET: 5 / Pq 1!e %V t= LOT: 13 BLOCK: t3. %� ADDITION: bON ,A1 r Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. -4=�0� Front: DESCRIPTION OF CONSTRUCTION Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ �j o� Type of Construction: e 6 e r ^�iaSS Estimated Cost: $ �000 Zb Be Completed: _ � Ltyle 30, rg�3 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE MVERSE SIDE OF SHEET . 1lie 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 Delwirtment of Buildings, and hereby declares that all the facts and represenUitions stated in this application are true and correct. DATE: 7 O SIGNATUIE : Stipulations: S° I , S"U M SUBJECT City of Fridley 2 7 71 1 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ______ I ~ PROTECTIVE INSPECTION SEC. I . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 1 J` 612-571-3450 910-F15 9/11/98 O JOB ADDRESS 580 57th Ave NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 10 Donna 's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Balthazer Same 55432 571-4510 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Reroof house 20S 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH 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 59.32 E OF CONTT OR iHORIZED AGENT (DATEEEj SIGN URI EN OP DATED IS Y PER IT A /e�r_ BLOGFINSP PATE S,GNATURE OF OWNER OF O R BUILDER( - (DATEI M NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION xConstructionAddress: 5yo 571A Av e Legal Description: Owner Name & Address: 61,1 ZVI 9. Z o w Tel. # Contractor: vn e. MN LICENSE # /I Address: Tel. # LIVING AREA: DECK AREA: YOTHER: Construction Type: 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 Length Width Height Length Width Hgt/Ground R a Ir+ov Q. H d +VS4 0 O F1(- P Driveway Curb Cut Width Needed: Ft. + 6 Ft = Effective 1/1/98 571 - L(510 Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ / /)/ v (Fee Schedule on Back) Ft x $ = $ OS JI-6ATE: 9 -(i" TF APPLICANT: ;0 Tel. # (9 CITY USE ONLY Permit Fee $ J % - /75 Fire Surcharge $ /, ? / State Surcharge $ y SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: 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 DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning — All Sizes $ 25.00 $� All Otherrs/Repairs $ Alterations (LIST ON BACK 1% of Value of Appliance or Work $ Commerciale ndustrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEEc .� MINIMUM FEE FOR ANY HEATING/COOUNGM NTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00Mr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 1998 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. ,1998 OWNER S �ca n �o-2 r BUILDING USED AS___P ESTIMATED COST./� t,�, CZ PERMIT NO. Z31=29V DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Trade Name Circle One (Steam) (Hot Water) (Warm Air) Size No. BTU HP EDR, Fuel Burner Trade Name, BTU Total Connected Load HP Size No. ar - HEATING . 1 r• J ' �` .� Signed A Approved By Rough—in Date Final v 4�8c FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes {) No ( ) y1, 2. Isere from rust or deterioration Yes O No { ) 3. Hisno foreign objects Iodged within Yes ( ) No ( ) 4. Is'securely supported Yes () No { ) S. Meeets all current Code requirements for size ind total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Bein&DDone: HEATING CO: Signed By:.,, Date: I SUBJECT .� City of Fridley 11474 AT THE TOP OF THE TWINS BUILDING PERM ' � rr NO. • �����_, COMMUNITY DEVELOPMENT DIV. fr INSPECTION SEC. r � � PROTECTIVE 1 1 i �"•I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/12/00 JOB ADDRESS 580 57 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 10 1 Donray's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Balthazer 580 57 Avenue NE 571-4510 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sams 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 J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE JG REMOVE 5 DESCRIBE WORK Remove existing 18' x 22' Garage;Construct a 30' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. 'WA1?jqjjqG 80'011G .digging call fOr all utility locations 4`4-0002 REQUIRE® y A SEPARATE PERMITS ARE REOUIREO 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 50 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 $ 14,935 $7.46 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- $251.25 F e SC $14.93 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK TetALFEE $273.64 S-GNATUREOFt:py'RACTOR OR AUTHORIZED AGENT MATES 14)- ra [A-S-GNATURE yy p Y VA 10 ED THIS IS YOUR PERMIT C`///)� OF OW R,,F OWNER BUILOERI ,DATE, B ,N$ MATE I NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5 ? d 97-(A /+ ve Legal Description: 1-10+ 13 131 o c- k 10 19 o vi n a y'rs L e- We V <%V h op Owner Name&Address: igHgot 4t -Z,1,4 ,SQch,a Tel.# Contractor: SA ti• MN LICENSE # Address: Tel. # 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 301 Width s Height Sq. Ft. 6 6D DECK AREA:L Width Hgt/Ground Sq. F OTHER: 7jn o v EA-j G lA Construction Type: Estimated Cost: $ a 0-. 0 If Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 110-1,Q-00 ` APPLICANT: �-^^ Tel. # 5-71—V910 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ , or Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) Sewer Main Charge $ TOTAL $ 7.T. (D STIPULATIONS: Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] The Home Depot #2805, 400 W 79TH ST, BLOOMINGTON, MN 55420, (61 Thu Sep 28 13:52:39 2000 3432•°0 The materials in this garage will cost $2589.43 This Price Trvss t 3 Y3.00 File saved as: f:\dn\garages\9280C2E6.GAR Drawing: 3 -Dimensional View / "{ a-% U ' e'c Fvrx d T,^oSscs ,;e Mice N I I 4V Amwkm - -V '` A 4/o/ �/z 3 ff/p f007 z 12 M,'Oz,4� ZS7 'e�,,l CA •� .a s 10/06/00 13:10 HOME DEPOT 2e05 4 9943429e NO.594 907 00-00-iT 00'00 -EG EU 'PTONWIT AAfh T ST -E = OZ uuuor OOOOZZ T ocooz! 00'OT-i J- i _1_ ST -r 0S .if(-zocTl[cl OOQZ 0000941 4ffdR. & CT xviff's 900 5swt 'VISR0361A 1,409 $91 008 r Yvpt VA:faT _V-1 10/06/00 13:10 HOME DEPOT 2805 9943429e NO.594 P06 0: w:* t I eff 10 r,o . ....... ............... ....... ...... ......... ....... ....... --- ---- ----------------- T4 ti 0 zu ... ... ... . 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A.RATHBVN - RECi1STEREO LAND SVR �,�JR -MINNESOTA REOISTRAT10tJ NO. 3'795. SUBJECT PERMIT City of Fridley 3180 0 AT THE TOP OF THE TWINS BUILDING PERMIT 06 RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. 572-3604 r � � PROTECTIVE INSPECTION SEC. 1 . i I = 1 CITY HALL FRIDLEY 55432 �'' NUMBER REV DATE F;GE OF APPROVED Br 612-571-3450 910-F15 5/4/01 / JOB ADDRESS 580 57 avenue NE 1 LEGAL L07 NO. BLOCK —7 TRACT OR ADDITION SEE ATTACHED DEscR. 13 10 Donnay' s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Balthazer 580 57 Avenue NE 763-571-4510 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 T CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace soffit 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $.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- $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $23.50 Fire SC PLAN CHECK FEE TOTAL FEE $24.50 TORE OF CON' ,TO NORiZEDAGENT iDATE. WH N Pq LY VALIDA ED THIS IS YOUR PERMIT 5- Y°- �f X &-' , 5-- z O I S-GNATURE O. OWNER WNER BWLDE Ri IDATE, LOG �N 0AIE NEW [) Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5%0 5-71,`` (1 v -e- Legal Legal Description: Owner Name & Address: 13" io•w f Tel. # W 3 671-11,5(,0 Contractor. Sa*`-.- MN LICENSE # Address: Tel. # 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: Construction Type:9 � 1 i„c e, So Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees If mailing In application Permit Fee $ 43, Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A” or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ j TOTAL $ C� V, S U STIPULATIONS: a SUBJECT I P - City of Fridley 31867 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. �: •--••- r PROTECTIVE INSPECTION SEC. ® O �� '/TL 1 Vq72.36®4 1 '-•-1 CITY HALL FRIDLEY 55432 �'"'-A NUMBER REV DATE PAGE OF APPROVED BY , j 612-571-3450 910-F15 6/1/01 JOB ADDRESS 580 57 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 10 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Balthazer 580 57 Avenue NE 763-571-4510 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 C3 NEW 0 ADDITION 0 ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside front of house 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 1 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 ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,600 $.80 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 ANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 4- 1` 0I $59.45 SIGNATURE OF CO ACTOR OR AUTI ORIZEO AGENT IDATEI 61 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP - OA TI S.GNATURE OF Ow NEROF OWNER BUILDERI IDATE, a a NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 510 mac 7+y A U e. Legal Description: Owner Name & Address: zo.- Tel. # Contractor: S MN LICENSE # Address: Tel. # 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: (fie �`r�� -Pi v ,+ fl'F hous¢. Construction Type: Estimated Cost: $ 1,6 010 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ O .001 of Permit Valuation (1/10th%) State Surcharge $ 90 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ :5 /° q5 STIPULATIONS: DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia H Faii BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes 17No LOCATION OF WINDOWS 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 $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) �1 - Curb Cut Escrow $ Upyot Aft=�� ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. _�' 0 - PRINT NAME SIGNATURE OF APPLICANT T� SC' P In DATE `� GI x ,1 � � � �l.iq �i,.laLlr��'l�I ".+�„'-•,,�►. �'7 'k. s s w!u a a� � N BUILDING Permit No.:1 Building Inspections RESIDENTIAL APPLICATION Received By:N 763-572-3604 CITY OF FRIDLEY Date MAY 763-502-4977 FAX EFFECTIVE 1-1-09 DATE -09 YOUR E-MAIL ADDRESS SITE ADDRESS 5W / l h �t'e Nie THIS APPLICANT IS: 1LOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME:__m le 7 To 5e P tA 9s4 jZ TENANT ADDRESS: 51 t j, A.e Nt', CITY E r.`� Pe -1 STATE-1�/ ZIP PHONE: 763` )_Z9 -WS;," CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX 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 ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia H Faii BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes 17No LOCATION OF WINDOWS 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 $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) �1 - Curb Cut Escrow $ Upyot Aft=�� ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. _�' 0 - PRINT NAME SIGNATURE OF APPLICANT T� SC' P In DATE `� GI x ,1 � � � �l.iq �i,.laLlr��'l�I ".+�„'-•,,�►. �'7 'k. s s w!u a a� � N ��j