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PRE 2010 DOCSN° 146 Village of Fridley, Hiinn. BUILDING PERjWT Office of INSPECTOR OF BUILDINGS Owner 1410 Architect Fridley, Minn. -0•1�19404- Builder A "� _ae"„ CATION OF BUILDING No. Street --7-1 Part of Lot Lot 9 Block / U Addition or sub -Division 46"140-mZ-1 DESCRIPTION OF BUILDING Front—/—O Depth H�� eight. Stories Manner of Construction To be used as L .r1a — z ;l�. t�mi_4E T. L. ,� :. � _ .. _ _ Ob AA 11 Permit is hereby granted ---. —11— —, v+..j+wJcoa — wvaa VAL, in Vbu the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. Q",t ector of Buildings. AGREEMENT AND SWORN STATEMENT .In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above. set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, day of L3 r A.D. 1 Minnesota, this-- Al his--µ q aey 'it�e7s 0 0 0 City of Fridley, Minn. 3208 BUILDING PERMIT N° Date: ~.��P ................. Owner!�!✓ .. Builde Address ............................. ..... Address . a]. ��a� ��'1. e'��r �Z *` : • • . �` LOCATION OF BUILDING No. & ..... Street,.... .............. Part of Lot ............ ...... ... . Lot.... ..... Block ..... /,0 ......... Addition or Sub -Division IV.4.iyl<'� c Corner Lot ............ Inside Lot ..1/........ Setback C.... Sideyard ../10 .................... DESCRIPTION OF BUILDING Trg be Used as: Front c�. . . Depth /-/.0 .. Height /—il.. Sq. Ft. G •D .�.� Cu Ft. ........ .. Type of Construction Front .... .,��.�.r,,,�.... Depth ........ Height ........ Est. Cost///./. S:74. o:r ..... Sq. Ft. ........ Cu. Ft. ........ To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. JP. ...... .. !... .. ...... 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 th., express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 1% .... Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, 0 sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 41a 1 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept, of Bldg/s. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Location Ld .70 � S2 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 See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: ti y 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, `Q" e —/_ , _q 195. Owner 2�� Qe e�p 195— Kind of B ding 195— ,,, n Used as To be co Estimated Cost, tflcc�' v OldNew uilding Permit No. �® DESCRIPTION OF WORK HEATING or PO)f M PLANTS—Ste Hot Wa Warm —No -- Trade Named G Size No Capacity—Sq. Ft. E.D.R ��`A BTU H.P. Total Connected Load / /) Kind of Fue P BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. RAY N.WELTEr: HEATING C®. Signe, ,saw r-mIEAP-8 AVE �NNEAPO LIS 7, MINNESOTA 11 POST t M-8-58 Business Phone No- City of Fridley, Mian. BUILDING PERMIT Date: Owner: _.� of Builder Address '00 J2 Z &,dA#J0,Address _ L C�'ION O BUILDING 06 No. StreetC-�� _— Part of 11 N Lot Block ; Addition or Sub; on Corner Lot _ Inside Lot RIM ideyard Sewer Elevation — Fdation Elevation DESCRIPTION. OF BUILDING 7-1 N° 5019 To U Front Depth ,,. Height Sq. Ft. Cu. Ft. Fro t Depth Height Sq. Ft. cu. Ft. Type of Construction 1 Est.. Cosi .,�t.`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. ..+ 41 I'll. 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.At any of the provisions of said ordinances.'""" y ,fir"? 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 hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDI.EY, KDWSOTA Owner's Name Builder Address (-,--_Address LOCATION OF BUILDING No. Street Part of Lot Lot Block 0 Addition or Subdivision 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. To be used as: DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City 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. l DATE SIGNATURE \ '�-- (A Schedule of Fee Costs can be found on the Rev a Side.) ©1f 52-84-S915.5 City of Fridley Application for Plumbing and Gas Rtting Permit Dept. of Bldgs. Phone SW -34M DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 620 N E 57 h AVe q 07 m $ v1 $ y� Z $ — x $3.25 ZHL eui pZ <�Z OS _ a $2.00 aU' Ute' Z (09 O • P • N WATER HTR. GAS ELEG Base Ist 1 2nd 3rd 4th • Future Connection Openings s New Fixture, Old OpeningsSewer I Connected with El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... .............. Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... .................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL 1st 3 Fixtures ...... ................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ .3 • oo REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 22-1'-30-67 19_ Owner J kleiditlger Kind of Building frame Used as reS To be completed about 22-5-67 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. Y— Business Phone ROUGH FINAL Description ............................. ................... TOTAL FEE $ ;�• QW.42 Frede: SUBJECT P City of Fridley -17 5 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT ` EIPT NO COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE t NUMBER REV DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/5/84 JOB ADDRESS 620 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 10 Donnay`s Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ick . Rushin 620 - 57th. Avenue N.E. 574-1095 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 q� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 16' x 20' Addition to Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. 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 $3,600 $1.80 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $46.30 SIGN RE OF CONTRACTOR OR AUTHORIZED AGE T IDATEI WHEN PROPER VALIDATED THIS IS YOUR_P`1ERMQIT re"o 4' ' v 0 BLDG 1NSP 24E SIGNATURE OFOWNER II OWNER BUILDERI IDATEI NEW [ ] ADDN. [ ALTER. [ ] Construction Address Legal Description Owner Name & Address: City of Fridley �R-1 AND R-2 Building Permit Application 0 57 r AVC /V F Effective 4/1/84 Tel. # Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Approx. Completion Date: '3601j Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge STIPULATIONS: CITY USE ONLY Tel. # Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] DESCRIPTION OF IMPROVEMENT LIVING AREA: Length AW Width < Height Sq. Ft. P1. GARAGE AREA: Length A�' Width _ Height Sq. Ft. 1IPP"" DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback a-Xz vn t/ zap Estimated Cost: $ Type of Construction: Approx. Completion Date: '3601j Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge STIPULATIONS: CITY USE ONLY Tel. # Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] pa -w. 7-/p 3 NUNDEnENGINIEF-niNG CO.,INC. ENGINEERS AND SURVEYORS LAND GUAVEY1NG SOILS TESTING CIVIL & MUNICIPAL ENGINEERING LANA PLANNING "IS -56TH AVENUE N. MINNEAPOLIS 22,MINN. OR T- 4914 Ceriiilic&Ae of _S U r V e y i- or -, 1 i v' L� �� i 1 i V �=i • 1 I + TS- -w777 S - -moi 6.,� A. --� d. E A RATI-tBU�t_ E1<iE® LAN® '3�JRWEYOQ -MINA ,-OTO. REOISTRATIONP�ilO.3T9S r W._� STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD / k(, ST. PAUL. MINNESOTA 55101 Date F . oni g Author' y �E . o Street Adress, S -i l City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: / gaifie of Day Care Home Applicant ( a®—L:7,z�a, -';Z �- Street Addres City State Zip Code DHS -2722 (9-85) PZ -02722-02 Type of License: Family Day Care Group Family Day Care Licensed Capacity Phone No. S,7,1 is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing work4r Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT Co"NTY OF ANOKA COURTHOUSE. FOURTH FLOOR ANOKA. MINNESOTA 55803 Name of Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER SUBJECT `PERMIT NO. City of Fridley_ 6676 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. INSPECTION q :34 r PROTECTIVE SEC. / `1 i � CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY ..-.�/,'� 612-571-3450 910-F15 9/19/88 JOB ADDRESS 620. - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 10 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 574-1095 Rushin 620 - 57th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONEI NSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E., Fridley 784--715 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 IR ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 14' x 14' Addition to Dwelling; Vinyl Siding and Aluminum Trim 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detector on both levels of existing house. Boo". rf[�pK� gging gal/ SEPARATE PERMITS REQUIRED F N�'£( � �l��al t!� WIRING, HEATING, PLUNKING AND SI (� �; SIGNS. � ���,� Ecr �, Gqs y Is 4W 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 '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 $11,500 $5.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $135 00 ERFORMANCE OF CONSTRUCTION. Z�� PLAN CHECK FEE TOTALFEE - &.�� $140.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI ER LIDAT D S IS YD R P R T DATE ��09 SIGNATURE OFOWNERIIF OWNER BUILDERi (DATEI NQaI [ ] City of Fridley EEfective 5/1/88 ADDN 1 R-1 AMID R-2 ALTER [ ] Building Permit Application Construction Address: 0- S- 7 Ale, fIE, T rl Description - Owner Name & Address: /TU6 A lh sam e. gOUIV-55 Tel. Oontractor : 7) k 1) l-� M �� royeyi-e 1+ `7"n Tel. 794/ 75Y� Address: '7�� ( L' et) Iye- &Eo Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRMION OF INFROVEME2V LIVING AREA:Length I Width �_ Heigpt 5q. Ft. GARAGE AREA: Length Width Height Sg. Ft. DECK AREA: Length Width Hgt/Ground Sg. Ft. DE99L. also tea/ V Ail! 5.ji 6 41OUnit,14h :h2j�4 . Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Ia✓®® CQ Estimated Cost: S Approx. Completion Date: ill 15d lic Alt. A Alt. S Proposed Driveway Width If New Opening Is Desired: Width + 6' DM: cf _ I ` 1-6 tl!' APFL IIMV : 4..3'' -,Q� Permit Free State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Dain Charge TOTAL 3rIFULATIONS: Now ,109, SM0114 CITY USE ONLY H SeeoBack Page Tel. # 7.6q - 7 V3 Flee Schedule on Reverse Side $.50/$1,000 Valuation $ $550 per SAC Unit S Alt. "A" or Alt. OB° Above $ Fee Determined by Engineering oil Agreement Necessary [ ] Not Necessary [ ] I" , 0417"kf- o.i bov tilu"21 •it L,I14A*j 460& 11,90 � a.a&,b - 4 13S.Ou P r P JV' UI 'ter co ^ d Llll>1 -�--__ t n' • � � � --�, lf' � i so H 711 UI 0 co ^ d n' • � � � --�, lf' � i so H 711 — l9 Q• UI 0 � ^ d / • � � � --�, lf' � i Ar ��� .fir UI 0 � d At S 711 — l9 0 � d At S 711 — l9 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. ro b, r a �+ e of +' .i �, Water 3.50 S Old Opening, New Fixture S 1.50 S ++ S W slls e wo m So: w g ary w Neater ~ O u +i 5 v m W ,1y� G �W o w 5.00 pw O 19 m N m aq 5.00 apo Sump or Receiving Tank $ U) $ Water Treating Appliance t� vii $ Hot Water Heater y w u 3 l9 C7 O a lec Rana- $ 10.00 g Back Flow Preventer Required. . . Yes ( ) No ( ) TYPB $ 5.00 lat ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance g� Reinspection Fee $ State Surcharge $ .50- 415.00) 1 1 FEE 2nd 3rd 4th (R) Future Connection Opening Connected with Sewer (*) ` New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 Future Fixtures g 3.50 S Old Opening, New Fixture S 1.50 S Beer Dispenser S 4.00 s Blow Off Basin S 5.00 S Catch Basin g 5.00 S Rain Water Leader S 5.00 S Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 g Back Flow Preventer Required. . . Yes ( ) No ( ) TYPB $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance g� Reinspection Fee $ State Surcharge $ .50- 415.00) TOTAL FEE Effective Date May 1, 1988 Job Address 'f' � V -57 — k4� Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct " )ot Fridlley,'Mn. �(����• 19 OWNER p Cor Y Lit G ` f ,, ` :� IC I L,— K IND OF BUILDING I- "0 utiv I USED AS-� TO BE COMPLETED ABOUT ESTIMATED COST �( - / OLD - NEW BUILDING PERMIT NO. PERMIT NO. / l 57 Company , Signed By� V Y Tei. No. - �2-391 J�— HOUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures• Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic'Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 S 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHI:�_'S AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 1 Effective Date May 1, 1988 Job Address �a O— Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 1� ' � 1939 OWNER KIND OF BUILDING sl nc, L ipa Vh L I \� USED AS _h (yn�_ TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company I 6, Signed By Tel. No. 7S7 73� i ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT , MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE mwater 1 e E tp C:�4 ro gyp4) ym gyp' a w d' Heater Cdt 4j 3 k .0Ce xt1 m M O •.t +i O y� +1 v M y 3 aw° w Uc as 3lec EQ vi ao'3 t� 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures• Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic'Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 S 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHI:�_'S AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 1 Effective Date May 1, 1988 Job Address �a O— Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 1� ' � 1939 OWNER KIND OF BUILDING sl nc, L ipa Vh L I \� USED AS _h (yn�_ TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company I 6, Signed By Tel. No. 7S7 73� i ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT , MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECY City of Fridley 26017" 6017 AT THE TOP OF THE TWINS BUILDING PERMIT R COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5 /5/98 / / JOB ADDRESS 620 57 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Q Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred/Joanne Rushin 620 57 Avenue NE 574-1095 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Roofing, Siding & Windows 18979 Gladstone Blvd Maple Grove MN 55311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK Q ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (21 Sq) 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 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 $.88 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,751 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- Fie SC $1.75 STR ION OR THE PERFORMANCE OF CONSTRUCTION. $56.75 PLAN CHECK FEE TOA EE Licen $5 $64.38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N R ALID THIS IS YOUR PERMIT +BL INSP r�� MATE S.GNATURE OF OWNERoF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION p 01 ConstructionAddress: (� o�� ' S7 � Alt /4/4 - Legal Description: Owner Name & Address: ;Q v sl , %� Tel. # 5-2 `/ /,O � s Contractor: toff-etwcs lea., 0 ., sick'., C' � ai:��ays MN LICENSE # Address:/s &/aW<sfay u'/oeV M -f,4 Gmec irxM/Tel. # c1/6- (Ikcv`l 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: r.r . t _ '? / S 7. Construction Type: 7k&r -o f { , Qc - t2v� !�' Estimated Cost: $� 3 fel (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE.• S -� g APPLICANT:�� Tel. # 5116- 9 kV Y Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT NO. City of Fridley 31 112 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55I32 612-571-3450 910415 6/26/00 JOB ADDRESS 620 - 57th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 9 10 IDonnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Rushin 620 - 57th Avenue NE 763-574-1095 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Building Contractors 12247 Nicollet Ave. So. Burnsville, MN 55337 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-328-3876 20169383 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [I REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 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 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 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 1 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,596.20 $4.30 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- N OR THE PER ORMANCE OF CONSTRUCTION 167.25 Fire SC $8.60 0 PLAN CHECK FEE TOTALFEE (1111� we� L ce se SC 5.00 1 $185.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi H PROPERLY VALIDATED THIS IS Y UR,, ERMIT� BOG INSP DATE S-GNATURE OF OWNEROF OWNER BUILDER, (DATE. NEW [ J Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING jP�E�RMIT�A/PPLICATION Construction Address: � oo 5 ��/ e / Legal Description: Owner Name /y& Address: reA � fu to &;RD 574k 000 Tel. # 7<0�' 5-7�/" Contractor. CUytev- (caws Sc ti 0 [[ C&4yaciors MN LICENSE # 1:20z6q-3 9 Address: /,.�,L/7 IV-co/l& Ow 5oLk+k Tel. # 3�t -St 2G :B tJ-i`soP(el MR SS3�J% Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: "� �� QI f ylG Estimated Cost: $1?, Driveway Curb Cut Width Needed: —aZLFt. + 6 Ft = Ft x $ _ $ DATE: IIJ ® 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 $® .001 of Permit Valuation (1/10th%) State Surcharge $ U $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $ S. :! $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 f", - TOTAL $ , STIPULATIONS: yV