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11 City of Fridley, Minn. 10 BUILDING PERMIT N® 3110 Date:........ ... owner ... ...........Builder ...!" Address ... �. ' �7. �ti�.. Address ..... f LOCATION OF BUILDING No. .4�... Street .. rf�........! ...... Part of Lot ..... Lot ... ...... Block ... �.®..... Addition or Sub -Divi. ' .. �fidv+.r� , /) .. Inside Lot �..... Setback .3 .. �. . Corner Lot ......... ... Sideyard DESCRIPTION OF BUILDING Tobe Use as r � To -be .. Front .. Depth `.!� . Height ...Sq. Ft. / 10Cu. Ft. ........ Fr t ........ Depth ...... jj //HH ht .......... Sq. Ft. ........ Cu,. Ft. ..... Type of Construction Est Cost.. /..T�..�. . �-Z'o be Completed . lj.............. . e o o*% 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 th.all provisions of ordinances of the city of Fridley. ........... ............... . D� In consideration of the payment of a fee of $....� . ...., permit is hereby granted to ............ ......................... to construct the building or addition as described above. This pe t is granted upon the express condition that the person to whom it is granted and his agents, - employees and workmen, in all work done in, around and upon'said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �..... alAof,.A 4uilding 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 oFridley, , Minn. BUILDING PERMITS? 4115 Date: ....._.._.—.......... gl :�:...j ....... ............. ... Z_ Owner:.._/Z� . ... ... ..... . ..'.1......... Builder ....... ................._............._............._... Address Address �TkON OF UILDING No.--1�..--3...?.�.... Street ....._............._...- _.. ........- - .............------..... Part of Lot ....._. Lot....................................... Block ..... _....... .................... ................... Addition or Sub -Division ..... -..................................... -....... -.......... ... ..........._.........._.._.._....._.... Corner Lot .................................... Inside Lot ....................................... Setback ..... _............. - ............. _........ Sideyard Sewer Elevation ................................._...........----.................................................... Foundation Elevation .................. DESCRIPTION OF BUILDING o be Used as: .al..`.. . ............ .......... FrontAo B Depth^ ..: ` Height ../...�... _a Sq. Ft. Cu. Ft.�1.......0® ..... ............... ..... Front ........................ Depth .......... Height ....................... Sq. Ft. ........................ Cu. Ft. ..... _................. Type of Construction .......................................................... Est. Cost..f3..Q,..�O................070 ....... To be Completed ....1.�.._%�LPf_...�1�.... 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. ._.. �P_..: ....._...:... .._ ........... ...... ._.._._ .. In consideration of the payment of a fee of $_../....._ permit is hereby granted to.....- ............. _............ .-...................... ... ___.... ... _..................... .............. .............. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR IMILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name -N�'`' `` ,�- v s d'v: Builder_,, Address �,3a = S 7� �o, (rf %. Address LOCATION OF -BUILDING a. No. Street 5-2 ✓ �iJPart of Lot� Lot . .> Bloch Addition •or Sub.Div. Corner Lot,_;_,Ira 34.Lot Set Back Side -Yard SEWER ELEYATIOAT.r r FOUNDATION, ELEVATION Applicant attach to this form Ce'rtificate'bf•Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To used as 1'� Front X33'( Depth -2z Height Ft. Cu, Ft. Front Depth.. Height Sq. Ft. Cu. Ft." Type of Construction' Estimated Cost e. O To be completed The undersigned --'hereto 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 representa- tions stated in this application are true and correct. DATE-?14SIGNATURE ��r • ���� �o (A 7Sche/ le of Fee costs can'be found oXn the Reverse Side.) � ff r e_ r (�,c r Yi e-rA as -4 d U IL roe. �' 1 SUBJECT PERMIT City of Fridley15320 AT THE TOP OF THE TWINS BUILDING P E R M I T RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I i { 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 17/9/79 JOB ADDRESS 630 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donnay `s Lakview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Przybella 630 - 57th Avenue N.E. 571-6248 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 ❑ El11NEW ADDITION % ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRED FOR M HEATINGI PLUMBING AND SINS. TYPE OF CONST.. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. X= Shingles 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 $460 $.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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIG TUREOFCONT CTOROR UTHORIZ A£a T IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT /' - ' )C�Ik�A'TUREI')lER / BLDG INSP ATE IIF OWNE ERI IDATEI 1 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) ADDti i TEL NO: y BUILDER: ADDRESS: TEL NO: Construction Location STREET NO: STREET: LOT: BLOCK: _ ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION S�__Front: Squane Feet: Front: Depth: Height: Cubic Feet: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ wo - 0-0 To Be ODmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corre DATE: �77 EZ --SIGNATURE: Stipulations: SUBJECT PER City of Fridley 19090 AT THE TOP OF THE TWINS BUILDING PERMIT _ r REC N0. `y -_-__. COMMUNITY DEVELOPMENT DIV. ^� r � PROTECTIVE INSPECTION SEC. 1 . � 1 CITY HALL FRIDLEY 55432 '•j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 .7/30/87 JOB ADDRESS 630 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donn ay I s. 'Lakevi.ew Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Pi.zybilla 630 - 57th. Avenue N. E. 571-6248 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 Remove existing window and install new door/window; remove part of interior wall 9 CHANGE OF USE FROM TO STIPULATIONS WEP RATE PERMTS REQUIRED VMNG, HEATING, FOR PLUMBING AND SIGN;,, 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 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 $500 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 S N TUREQFCONTRj(CTORcIR AUTH09XED AGENT IDATEI '�V fsLC�s �� WHEN PROPERLY BLDG INSP LIDATED THIS IS YOUR P RMIT �TF f1ATE SIGNATURE OF OWNERTIF OWN 8 DERI IDATEI R � r eo !4, 1 �3 NEW [ ] ADDN. [ ] ALTER. [� Construction Address Legal Description: Owner Name & Address: Contractor City of Fridley �R-1 AND R-2 Building Permit Application Address: 1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Effective 4/1/86 Tel. # '� Tel. # Length Width Height Sq. Ft. Length Width Height Sq. Ft. i.enQth Width _ Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback side tare beWacx Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �� -�7 APPLICANT: Tel. # 7� CITY USE ONLY Permit Fee $ /J�� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ m $•50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ �- Agreement Necessary [ ] Not Necessary [ ] TOTAL $ .� U STIPULATIONS: SUBJECT -15'ERMI City of Fridley MOVING 20340 AT THE TOP OF THE TWINS PERMIT i CEIPT COMMUNITY DEVELOPMENT DIV. tr _ PROTECTIVE INSPECTION SEC. _ , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/7/g0 JOB ADDRESS 630 ^ 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donnay Is Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Przybilla, 630 -'57th Avenue N,E, 5716248 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bahl Movers Inc, 141 -- 90th_ Avenue N. E, Blaine? MN 55434 786-5650 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 C MOVE ❑ REMOVE 8 DESCRIBE WORK Move 201 x 221 Garage out of City 9 CHANGE OF USE FROM TO STIPULATIONS Route; 57 Avenue to University Avenue to 73rd Avenue to Highway 65 and out of City, New Garage: Permit applied for by Northwest Garage Builders. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $10.0 $N/A WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15, OCL UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15,00. (GNAT E OF CON i RACTOR OR A-- ORIZED AG T (DATE) W N PRO DATED THIS IS YOU PERMIT INSP ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI [ ] ming [ ) Wrecking Cm OF FPJDLEY NUVnG OR 1749nCKnVx APDL IC MMC K Job Address: f� S% � Ciuc� /v.F. Legal Description: 0 +- �o� 1® 0 a Vkh a °5 L Q (r u o e� Owner & dd • ©s : e- � l d2 �; 11c, Sc, , a5 Tel. # Contractor:_G�N�_ \;V\ ®�trs ��n� , Tel. # )8C -CCT0 Address:_ I �( �6'� State License # /09— Living Area: Iength Width Height Sq. Ft. Cu. Ft. Garage Area: Iength Width &2o-� Height Sq. Ft. Cu. Ft. Other: Length Width Height sq. Ft. Cu. Ft. Estimated Cost of Wrecking/Moving/o d-`7® Approx. Ccapletion Date YA4Ll // Lt- UTIUTIES TO BE NXIFIm City Water/Sewer Mpls. Gas Company Northern States Power Northwestern Bell Tel Co. 571-3450 [ ] 372-4720 [ ] 566-9120 [ ] Water Bill Paid: Yes [ ] Amount To Be Collected [$ .i \ AX Moving Route: 293-0665/293-1319 [ ] ] Initials FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . $ 20.00 Kiniennn Fee: $15.00 Through, within or out of City . . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Department, and the State Code which requires, any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. PEIKIIT FEE: �� ' ©® signs ture J STIPULAnONS : SUBJECT City of Fridley 79-rnTzA 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. (��® � /'.'1 CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY I.J 612-571-3450 910-F15 5/10/90 JOB ADDRESS 630 ^ 57th. Avenue N, E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donnay''s Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE XE= Bob Przyb lla 6.30 - 57th Avenue N.E. 571-6248 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Northwest Garage Builders 2115 R 21st Avenue South, Mpls., MN 55404 888-7400 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 1p NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 34t x 22k' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $l $5.57 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ,130.24 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $126,00 SIR TION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _ $131.57 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE,T'= THIS ISgYOUR .. I/PERMIT U -' q DG INSP DATE SiGNATURE OF OWNERIIFOWNER BUILDER, IDATEI NEW [ ] Effective 1/1/90 ADM [ ] R-1 AND R-2 ALTER [ ) Building Permit Application Construction Address:Z9 Legal Description: Owner Name & Address: Tel .# l i J- -f e 2, It -,Z Contractor: Ta,. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DffiCRIMCN CSF nOROVEMM LIM G AREA: Length Width Height Sq. Ft. GARAGE AREA: length Width 2—' Height --�-- Sq. Ft. DECK AREA: Length Width Hgt/ Sq. Ft. ORHER: Corner Lot [ ] Inside lot `j Ft. Yd Setback Side Yard Setbacks -3111 Type of Construction: Estimated Cost: $ Approx. Completion Date: j/� > 6, Proposed Driveway Width If New ing Is Desired: Ft. $ $ _ Width + 6' See Back Page DATE: s moi ° APPLICANT: _ Tel. # f� le-�4p d 6 CITY USE ONLY Permit Fee $ /,2 4 • State Surcharge $ So .S'% SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIP[ IMCNS : Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 719x Pf 89 i7LUo - ov ' ovv ; ' !v 9 gl o '21 Coo ,o `n CWf= 'rbbe� r,k.�,714 a ,1- .rqa- ai `_,fir, OUr-I _ „ ANY TIME eusa t ti CHASE '_ _ FIDW M �P7:7' NAI ON 1W THIS l±FLlf7-L , 4 Vo,rtfSEMSIVi ; SUB,fECT:Q -i1.1t `BAMS Ter.�LWTOM e �r' _ �° t - '�¢. rz '�• •n .; sz�} �j �st1y "�f�/}"'. `�"i � i �' C7_ h 7 ids ✓s �' r tr � F � Pi �'�ry-i�` ��,J' u�� i� � µ ; i� 4 � - .v. �Gj E, "s a `'.s'' Jjn � {'ij.� r4'7 � ems,. ri M x e ,�'� 7 ��� F y`� �t'�1 3' �sE � s .," '� s a ••-k.` �. .. Wk'c "+r Y �, l ^ ti w..� , .'v 5.r•d t,e Ow - . a' cieneraEr mm, �' oetF► rg �� CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEFMIT RATE SCHEDULE ,n Ln a. a a a u Now Fixtures N K u 7.00 Water A N H $ 4.00 - w (+ c- a M H 1..Aj 5.00 Isss w P. 4 -4 ff r tr $ Heater d V •+C1 W 7.00 - -4 W N 7.00 a $ Sump/Receiving Tank S 7.00 a p 0•A t J 0 C q a Q p O Y tll M N YI IA M i 9 a u a A A w 10.00 oa.G a w us 9 3 � is Back Flow Preventer Required ( ) Yes 1 No Type S 5.00 - $ 1st 2nd 3rd 4 th IR) , Future Connection Opening Connected with Sewer (•) - now Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Now Fixtures 5 $ 7.00 w $ 35.00 Old Opening, New Fixture $ 4.00 - $ Beer Dispenser $ 5.00 - $ Blow Off Basin $ 7.00 - $ Catch Basin $ 7.00 - S Rain Water Leader $ 7.00 a $ Sump/Receiving Tank S 7.00 a $ Water Treating Appliance S 10.00 v $ Water Mester - Electric S 7.00 - $ Water Heater - Gas 5 10.00 m $ Gas Range $ 10.00 a S Gas Dryer $ 10.00 - $ Back Flow Preventer Required ( ) Yes ( I No Type S 5.00 - $ ALL OTHERS ANO/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance State Surcharge REINSPECTION FEE $30.00 TOTAL FEL' 5 S 5o s35.50 Effective Date January 1, 1991 Job Addreacs 630 57th Avenue NE Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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. May 16, , 1991 awNER Bo_Pr^ ybi lla 5-7/ - C Iy S KIND OF BUILDING Residential USED AS Home TD BE COMPLETED ABOUT June 1, 1991 ESTIMATED COST $1730.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Lc? Company SOLAR MECHANICAL INC Signed 87 'vVl Tel. No. 783-9080 ROUGH INSP. Date 4-2 FIN;J, INSP. 1' CO L Gate APrROIIAL FOR PEPYIT MINIMUM FEE FOR IVNY PLUN:fI':G/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT E City of Fridley 21060 AT THE TOP OF THE TWINS BUILDING PERMIT f _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/91 JOB ADDRESS 630 - 57th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donnay 's. Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESSZIP PHONE Robert/Sheila Przybilla 630 - 57th.Avenue NE 571-6248 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, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install sliding glass door 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $500 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $16.00 ,-&W,t4,4qJREOFCONTRACTOR RAUTH RIZEDAG NT IDATEI HEN P P ALID ED THIS IS YOUR PERMIT LDG INSP MATE SIGNATURE O FOWNER OF OWNER BUILD IJ IDATEI MW [ ] ADEN [ ] AMER [ ] Cmwtxvction Address: owner Name & Address: . U R-1 AND R-2 Building Permit Application Effective 1/1/91 Oontractor• Tel # Attach to this application, a Certificate of Survey of the lot, with the proposed corstruction drawn on it to scale. MSMIPrIM OF IHPIE� L1VIM AMMO Length Width Height Sq. Ft. GRRAM AREA: Length Width Hei cwt Sq. Ft. DBM AMM: length Width Hgt/Grmid Sq. Ft. 07HEFt• Corner lot [ ] Inside Int [ ] Ft. Yd Setback Side Yard Setbacks Type of Constru,ction:.4ZZ= 2✓� Estimated Cost: $ lY✓ e°-� Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: 9 /0— 9/ Width + 6' See Back Pa DATE: APPISCANT: -r Permit Fee $ 115 --cc, Fire Surrkarge $ C� State Surge $� SAC akirge $ Driveway Escrow $ Park Fee $ Sewer Main criarge $ $ 1 &o STIPUTATICNS: t. CI'PY USE COLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by BVi neo ng Agreement -nary [ ] Not Necessary [ ] G, ' P r G, ' P SUBJECT PE City of Fridley 213 4 6 AT THE TOP OF THE TWINS BUILDING PERMIT O _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 5/19/92 JOB ADDRESS 630 - 57th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Przybilla 630 - 57th Avenue NE 571-6248 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201 x 14t Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan , WARATE PEF�i[-tT� REQUIRED FOR A RNING WMA„ TMr.2i, PLUMBING -"AND SIGNS, Before digging call for . all utility locatives 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWjG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,843 $.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $43.00 Fire SC $1.84 FORM . CONSTRUCTION. PLAN CHECK FEE TOTALFEE g X;446� $45.76 SIGNATURE OF CONTRA OR Au O ZE IDATEI WH N OP RL c V IDATED THIS IS YOUR PERMIT (^/ V©� BLDG INSP DATE r SiGNATU RE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:3 C> .<-% le�< Legal Description: !/" Owner Name & Address: k6 b e Y � Tel. # ,:�- ZI 6 ;L ��- Contractor: Se l 1,,-- MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the K 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 6 Width / `{ Hgt/Ground tea-- Sq. Ft. aye OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ i &M Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 6'-- 1 q - q?- APPLICANT: l/s Tel. # CITY USE ONLY Permit Fee $ . ov Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ — $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ ] TOTAL - ? �-- STIPULATIONS: Ci4-UP CONST. WASTES DAILY STORE IN AN APPROVED {WANNER REMQVE ALL REFUSE VLgKy\ 17' -Ao4o� 9 FLASH OVER ALL EXPOSED EXTERIOR OPENINGS v 6;1X61 .,&�(;, � � c cR Xfi d.1 dlA�� c�Yop ? c/ , "W, SUBJECT City of Fridley fi� 9 '. AT THE TOP OF THE TWINS BUILDING PERMIT Ir I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC r �� q4 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/2/94 JOB ADDRESS 630 57 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donna 1 s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Przybilla 630 57 Avenue NE 571-6248 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 OX ALTERATION ElREPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace living room window 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT_ CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $1,000 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $25.00 Fire SC $1.00 PLAN CHECK FEE TOTALFEE 26.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) RjOPERLY ALI DATED THIS IS YOUR PERMIT HEN P%� Wi - LOG NSP �/////It/ GATE SIGNATURE OF OWNER of OWNER BUILDER) IDATEI NEW (] Effective 1/1194 ADDN [ J CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ell Construction Address: We Legal Description: Owner Name & Address: 'p r ' Tel. # Contractor: 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: Corner Lot [ ] Inside Lot (] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1.05 .001 of Permit Valuation (1 / 10th % ) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 c, Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 4 J 01 suBjECT IT NO. City of Fridley 27860 AT THE TOP OF THE TWINS BUILDING PERMIT i L 4uceprNf o. • _ COMMUNITY DEVELOPMENT DIV. r � PR TI E IP TION SEC. � 13"9 NUMBER REV DATE PAGE OF APPROVED By CIT L 432 612-571-3450 910415 9 / 18 / 98 JOB ADDRESS 630 57th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 10 Donna 's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Przybilla 571-6248 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 O NEW O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof house & garage (27SQ) 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 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 $2,313.00 $1.16 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 Fie SC $2,31 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL $78.22 GNATURE OF CON'RA OR AUTHORIZED AGENT JOATE, 74 p OP ALIOAT NSF' S ISZYPE MIT yAtE SiGN4 TUBE OF OW NE R,6 QWNE D R, I ATEA 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 636 Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/98 Tel. # L57l �O MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /) B _O/ / cl- bq7Z - d /*` Construction Type: Estimated Cost: $ o(-�) i (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - '/�� APPLICANT: Tel. # ✓!5— Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge IC.ykr:1I STIPULATIONS: CITY USE ONLY $ L'- Fee Schedule on Reverse Side $ o2..5 / .001 of Permit Valuation (1/10th%) $ /. /lv $.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 [ ] l SUBJECT P City of Fridley 28384 AT THE TOP OF THE TWINS BUILDING PERMIT t ECEIPT NO 572,46"111111 NITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L • 612-571-3450 910415 10/22/98 JOB ADDRESS 630 57th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 8 jQ Donna 's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Prz bills 571-6248 3 CONTRACTOR MAIL ADDRESS 425-04737 ZIP PHONE LICENSE NO Twin City Exteriors Co.I59'369-4()R3 25135 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION Rx REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIREO 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 GAYS, 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 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 $8000 $4.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $137.25 f Fir C $8.00 PLAN CHECK FEE TOT FEE Lice ns C 5. 4.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI NP P LI BI OG I SP T HISISYOUR P R IT "AtELJ S,GNATURE OF OWNER,IF OWNER BUILOERI IDATEI l NEW • ¢ ] Effective 1/1/97 ADDN (] CITY OF FRIDLEY ` ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 a t� BUILDING PERMIT APPLICATION D� D a`DI�I ConstructionAddress: 3 ®— Legal Description: Owner Name & Address: 4 L Tel. #�]/-� oZ Contractor: MN LICENSE # Address: Tel. # 6/a y7-2 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:_ 'A Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -/ - APPLICANT: lvh' Tel. # �2 s - e7 7�3'7 CITY USE ONLY STIPULATIONS: 5;7 - Permit Fee $ f Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ si $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 afF-- /6 -12 -?r $ STIPULATIONS: �oC) W�3y NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: A 5 Legal Description: Owner Name & Address: Bb 4e i!A Tel. # %�3-571-924 S Contractor: Jid& e r �-1A,vd &3 MN LICENSE # C,7_o3 - f 5'30 Address: 235 PI-2/<51,�e Dka-e > A5T, PAy�, M&I Tel.# LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft E6-(Ze5g Lx) till4-w Construction Type: Estimated Cost: $ L900, dy Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: �-3-OS APPLICANT: 5"-( lT�i N l�3 Tel. #_'6' �'� 3G" � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $ / t� $ cl0 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: Building $ C? BUILDING Plan Review Permit No.: Inspections Surcharge RESIDENTIAL APPLICATION (.0005) times the total job valuation — Minimum $.50 Received By: 763-572-3604 .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ , ®ol Date Rec'd: DATE A'' f491-0—ti- YOUR E-MAIL ADDRESS $1450 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS �o'/�� h S % 4 IM f- . ft + 6 ft = ft x $20 = $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: J A? JLA A 1 Fee Determined by Engineering TENANT ADDRESS: 4930 .51 % 64 atw- AM-, CITY y STA IP�.�/ Total Due PHONE: � � V% 6J Y Make checks Pavable to: Citv of Fridlev Attach Stipulations CONTRACTOR NAME: ® ' Y"—/—W + STATE LICENSE # C jW315 M EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: % ILL CITY19y STAIA91P,!!�� WITH APPLICATION PHONE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER 140 ❑ SWIMMING POOL TYPE OF WORK:W ADDITION MAINTENANCE/REPAIR ❑ REMODELING � DESCRIBE WORK BEING DONE: �% S�115&? 1% Z92AC7� ; a 77-%: SIZE* OF IMPROVEMENT LENGTH 1Z WIDTH ' HEIGHT > S . Ft ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, tVinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT': Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & It TYPE OF BE INS D�� NUMBER OF WINDOWS L FEES ARE BASEP ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 1`7 -'* • 11V (USING THE 1997 U C FEE SCHEDULE) TOTAL J ALUATION$ fj OCCUPANCY TYPE Permit Fee $ C? See Back Page for Fee Schedule Plan Review $ . 00 65% of Building Permit Fee Surcharge $ 2) (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ a'-7 .001 x Permit Valuation (1/10%) License Surcharge $ , ®ol $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 5IJ4 6 Make checks Pavable to: Citv of Fridlev 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 I understand this is not a permit but only an apVia n for a permit and wo is not to start without a permit; that the work will be in accordance with the approved plan in the case of allhich requir s re d approval of plans.rrt/� QySIGNATURE OF APPLICPRINT NAME�iG5 �T7i/_ DATE / ®"� r �� MINDER ENGINEERING CO.,INC. ENGINEERS AND SURVEYORS LA.140 MUMVEYING SOILS TESTING CIVIL MUNICIPAL ENGINEERING LANG PLANNING 6418 -56TH AVENUE M. OFL 'T 4014 II 75- i UI LD Ar 7 r5 e AtAA'THt3UNJ RF -61-5 PE.c) i. NNO MiNN 0 -Th. F2E0jS7TQAr10tlJ t -.10.3-75F) Permit # Permit Date 0 REScheck Software Version 3.7 Release 1 8/" Compliance Certificate Project Title: Four Season Porch Report Date: 10/25/05 Energy Code: 2000 Minnesota Energy Code 38.0 Location: Anoka County, Minnesota Ceiling 2: Flat Ceiling or Scissor Truss: Construction Type: Single Family 0.0 Glazing A7NE. 1% 368 Constru Owner/Agent: Designer/Contractor. 630 57t Bob & Sheila Przybilla Jim Shoop Fridley, 630 57th Ave. NE. Shoop's Building & Remodeling, Inc. 928 Fridley, MN 55432 11318 Rosemiti Lane 74 763-571-6248 Champlin, MN 55316 0.310 612-9e"909 • • • • 1 ••- Ceiling 1: Flat Ceiling or Scissor Truss: 224 38.0 0.0 7 Ceiling 2: Flat Ceiling or Scissor Truss: 1000 40.0 0.0 29 Wall 1: Wood Frame, 16" o.c.: 368 21.0 0.0 10 Window 1: Above-GradeNood Frame:Double Pane: 186 0.320 60 Wall 2: Wood Frame, 16" o.c.: 928 11.0 0.0 74 Door 1: Glass: 82 0.310 25 Floor 1: All -Wood JoIWTruss:Over Outside Air. 224 30.0 0.0 7 Furnace 1: Forced Hot Air. 90 AFUE Air Conditioner 1: Electric Central Air. 10 SEER Compgance Statement Statement of Compliance: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to most 2000 Minnesota Energy requirements in REScheck Version 3.7 Release 1 and to comply with the mandatory requirements I tel in the REScheck I Checklist. builder/Designer Company Name D Four Season Porch Page 1 of 3 PA G� 4 ov �, • . HOME OWNER CONTRACTOR Bob & Sheila Przybilla Shoop's Building & Remodeling, Inc. 630 57th Ave. NE. 11318 Rosemill Lane Fridley, MN. 55432 Champlin, MN. 55316 763-571-6248 763-427-3885 a lO=On /4`O° Sc oL /2 R IFA .. k • - n 1,D&,E Vl; NT 130 y'EM.S 44, SC �SSOR fD YAfTAL �R1P zc� + ROOD - t� u55G S (WITH : r w�cl2 ��t14 T AIR muTkS SOF IT VF"t' S 2-A6 5 TVQ5 !6"0, G. 140V5F-�I/2' For- IL- -30 T4(-.058-SaA�. ' GRADA 6 6 . pl '. REATEO 1.AA �.,.! IV NN/we Sc oL /2 R IFA .. k • - Q, - OPEN AOORW rAN650 -[ASST --GbU CrA5 FIRE ALAGa •r-Ao g PATI i • ,4NaEnSoN C 3� , o �R.'0, i G �}ND�n50IV C35, C/5+G ��; R.o► , IO =1 �a - 5' 'r �b f 1 2=b?' W-0,, { xr�rr• , ��'":.fit.,• ,w!o to b 99� i 4 J N 4 t r• ) � yl x z�r sf i • C 1 n f � t e': '$ma�y tv • f • y Q, - OPEN AOORW rAN650 -[ASST --GbU CrA5 FIRE ALAGa •r-Ao g PATI i • ,4NaEnSoN C 3� , o �R.'0, i G �}ND�n50IV C35, C/5+G ��; R.o► , IO =1 �a - 5' 'r �b f 1 2=b?' W-0,, PSE 2 op � HOME OWNER CONTRACTOR Bob & Sheila Pizybilla Shoop's Building & Remodeling, Inc. 630 57th Ave. NE. 11318 Rosemill Lane Fridley, MN. 55432 Champlin, MN. 55316 763-571-6248 '' 763-427-3885 1 .01 • a RSON ,Doom 3{ 5510 c Mg rr'h;ix 1 r1�.''. • -• I � tdUC� Q "Ri'tiJ ' ADFR z@ C14pactj!t �aQ �' ��$� �4�m-din 1g) i 0i - EA09P, f wes CN 0 IRe. SHALL UL )1 THE JOB L E lk w. ^Fl TRUSIS, 1LSIGNS BE MADE (M WE J00 -^111E HOME OWNER CONTRACTOR B b.& Sheila Przybilla Shoop's Building & Remodeling, Inc. ['MN IwIfevo57th Ave. NE. 11318 Rosemill Lane Fridley, NW. 55432 Champlin,.MN. 55316 763-571-6248 763-427-3885 ! I; e Aw, Mt1v REV DE co 1A E s r [ t + t , - 4 � _ _ f I NAIL SOLE PLATE TO JOIST PER i TABLE R602.3(1) 8d COMMON NAILS AT 3" O.C. TOP Z -- -- -- AND BOTTOM _1-1---- ---== J ` � W �O-- ,. WOOD STRUCTURALPANE NG \OVERLAPPROVED P.tV'E`,JED OUTSIDE ELEVATION CODE IDE E BAND JOISTFOR JvMPL1A�OE IMPORTANT CODE REQUIREMENT: ONLY FOR USE ON HOMES WITH FULLY SHEATHED PLYWOOD -� OR OSB EXTERIOR WALLS, PER IRC R602.10.5. --� APA DETAIL OF NARROW WALL BRACING METHOD WITHOUT HOLD-DOWNS i (STRUCTURAL PANEL OVERLAP OPTION) (DETAIL 2 OF 3) USE ENGIt I^JOIST, JOIST TO + t , - 4 � _ _ f FROM : RICKERT HTG AIR C 60� 'C) -.�Ja PHONE NO. : 6124259025 Nov. 21 2005 12:13PM P2 FROM :Cita of Frid'•cy FRX NO. :7635711297 Nuv. 21- 2M 10:11AM P1 B u lding CHA.tNICAL Permit Na.: W&-+� 4� MODEL Si.ii'fi 1 �Ld pO L Ods hapectionsiRESIDENTBL APPLICATION Rereivt<d BY: ku q/C�g,pp AMTOAUt E,XCHAtQOMM S13 763-572-3604 CITY (3F kDLEY Dain Reo'd:�1 z� �S Qp7E 7r! YOUR E-MAIL AD1>IWS J -KLCc �C AOF SMAD[B:.BSS, Ca 5 RF% V' E S biussbcr of fixtures (d� $ZS.Otf _ xS.00 «S x� –S—Y�� Number of S1daJres (a� S35.00tatc THM. APPLdCANrIS: n OWMM 26rMAC701k FR ERTY i &m&. i C r-.4 ADDRESS:, _ '`i A . ACk. cm F/Z1 l.+ & sa a�j% d T 7 1"T CO 11M1 CTOR �aY IY• ►vl{�Wr�B � i4�) Ml7 F! liie�li ��Y ��Yr SUMArr A COPY OF YOUR STATE STATE i10ENS k ,r > V DATE L � LICENSE P+ITW ADD= i C1 AAPLIt',ATidN PiidA18% �i 't z- '` 99t - - PAx 1P'ERll rr TYPE -E-SWMZ PAM%V O TWO FAM LY O Tam OM MOM= k Maw 9 WLACBMM?r I ! DETAILED DIMCRd)P' CM OF WOOR1 K � 2wr rs,T •� .G yrr PER MS 16B.665 the Permit fee is a mi"IMUm of $115.00 or 5% Of the total cyst up to SiZ00AR whi6evet b greater, for the improY4tnaa illatallation or replacement of a ruldentW facture. Mluft tht f'+xtures, (- This shottld reflect only the oott of labor ) W or cost undor 9300 - S15,00, Labor cost between $300 tO S500 0 east Of labor - x AS s FOR PROJWTS WHOM LABOR MOM=$ 3100, PEGS AREBAM ON $10.00 PMR FIXTURE, BXMT WIM&AN$OM- P1X VPM' MMM&TETOTAL NUMBU61 EACH SBLOW) PAU,F mat tasWied W&-+� 4� MODEL Si.ii'fi 1 �Ld pO L Ods h -G! ^ MUn1O. - MFO: MODELz — q/C�g,pp AMTOAUt E,XCHAtQOMM S13 ,— _tiA3 RANGWVEN S1OA _,F771EPI.AC� (OAS) $15.OQ FlitE?I.,AC1i (WOOD) S35.00 ' �11.,1V GAS ORAI S I M �( Y5 51000YER$10.OsaPp41,V]EATSR535,00 GE $39.00 .,....GAS tltllt HTA3jQ&0 GAS_Vr9TILATOR SIM p®t�tsit Fse S 'NWmber Surcharge $ Numberoffudares$i5.00�,,^ TOTAL DUE S biussbcr of fixtures (d� $ZS.Otf _ xS.00 «S x� –S—Y�� Number of S1daJres (a� S35.00tatc Ss TMS 15 AN APPL1CATi N Mit A fM=440T VAUD UN991. PROCM)M 1 hereby apply for a builcTmg permit and 1 aeknowlodge that the in6mution above is complete and aewratc; that the work wiM be in =formanee witil dto ordinmat a and codas of the City of Mdley and wid, the lbflttmMta Ctmsttviceian Codec; that I understand thb is nol a permit but dttly an appliaatiam for a permtr and work is not to start without a permit; that the vm* will W in wam'dwee wi& tba epluoved plan in the can of work which Muees Mvit w Md approval of plans. SIGM tJttR OP AMICAM PRINT NAIu9E DATE ._�.. City of Fridley Building Inspections Department 6431 University Ave aue NE, Fridley, MN $5432 763-572-3604 v FAX: 763-502-4977 gyij 0093 L FROM : RICKERT HTG AIR PHONE NO. : 6124259025 Nov. 21 2005 12:14PM P3 FROM :City of Fridley FAX NO. :763S,711287 Nov. 21 200.5 10;12AM P2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC Q NEW HOMESIADDITIONS EXISTING HOME [] MAKEJJP AIR REQUIRED FOR 8TIN9 HOMES - 1, Combadc o Air (Soo nate Mow) a. Oil or solid feel IMC Chapter 7 with MN Ameadments b. Ndabx4 Cas or PropanWUV;C Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. WC: Chaps 5 with MN Amendments 3. voiag a. Chas applieum W C Chiter 5 with MN Amendnmte b. Fuel other gm gas IMC Chapter 8 with MN Amendments REQUIRED ERR NEIN HOM&B 4. Hort ltus & Owling load pccr room & Uquired oxo xww construction IMC 1346.0312 5. Ventilation a. Pcr MN FucW Code 7670 or 7672 6. Dud pcdp Per W 130.0663.2 s. ACCAManual D NOTE: , Ceuterpoiut RaaW Mechanical Code GuideBues software may be used for combustion and make up air caicnlattionm NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: oo _ Avt mi- , rn a d Lm Legal Description: Owner Name Address: r --E Pr s Tel. # fo - - Contractor. 0 uarv& MN LICENSE # lr Address: Z % j, Ilb 7 d _ c�n,�sA l 4k- /- 1 S q 3Y-- Tel. # 7 - 7 Y 5 7,� 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: on S16 Construction Type: si dL"' juste. 6n "Estimated Cost: $ -2, 0 q0l0 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: �� APPLICANT: ��Z--C�`�— Tel. # 7 63-" 7'F6 Call (763) 572-3604 for Permit Fees if mall g in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ 3 Fee Schedule on Reverse Side Plan Review $ 64 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ Z : 00 $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ l o� �o STIPULATIONS: