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PRE 2010 DOCSCity of Fridley, Minn. BUELDING PERMIT No 3290 Date: ... /.� Owner ... ... .... Builder ........................... Address .... Address ....................... .... ............... . LOCATION OF BUILDING No. �. .... Street .. .^� .... ................. Part Lot .. . Lot ...... /. 6 Block .. ./&&..j ... Addition or Sub -Division ..... . .Xii� 7. . Corner Lot ............ Inside Lot ...... ... Setback ............ Sideyard ....6gs.f.... DESCRIPTION OF BUILDING Used as: d ... %✓ .. ..... Front Depth ...��...� Height ........ Sq. Ft. cw. Ft. ! . .........front ........ Depth ........ Hei t ........ Sq. Ft......... Cu. Ft. ........ 00 Type of Construction .. ... ]list. Cost... .............� To be Completed 3s�� /6 ®ecI �(p d In consideration of the issuance to me of a permit to construct the building degribed above, I agree to do `6 the proposed work In accordance with the desgription above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $......�.., permit is hereby granted .......................... to construct the building or addition as described above. This Ofirmit 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. . ............ .... ..f. !.. ... 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. 1 0 BUILDINGi PERMIT Village of Fridley, Minn. °2454 ' Date. !": �.'i':'. ............................. . Owaer Builder . ........................ Address ......... ... {Ili Address ............... .................. .. LOCATION 67 BUILDING E No.. 1: ... Street .,.I'�K . ..�` . .......... Part of L t ...................... . Lot ...Ar....... $lock ........., Addition onSub-Division ............. ...................... Corner Lot ....... .... Inside Lot . ..'..... Setback *11A 4p. Sideyard .I '11:.. ................ DESCRIPTION F BUILDING To be Used as: .:... Front .: De th eight al :A.. Sq. Ft. ....... Cu. Ft........ . ............. Front ........ Depth , ...'height ......... Sq. Ft. ..... Cu. Ft........ . o......... Type of Constructi '�►'"' :. Est. Cost To be Com leted. II, i. II In ConddeMfloil of the issuance to me of a permit t�, construct the building descilbed above, I_ agree to do the proposed work accordance with the description aba�be set' forth and, in compl ce with allprovisions of ordinances of the age of Fridley. I - In considerati the payment of a fee of $.�; ... , permit is hereby granted tc to construct the building described i�7kslt: or. addition as above.' permit`i' :granted upon the express. conditi that the person to whom it is granted and his agents, employees d workmen, in all work done in, around an Fridley, Minnesota upon said building, or any part thereof, shall conform in all egarding location, construction, alteration, maintenance, repair ani to the ordinances of moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of an of the provisions of said ordinances. cook: .. ' Building hispector NOTICE: This permit Joao not oover the constructiont instai,jatton or alteration for wiring, plumbing, gas heating, sewer or water. be sure to see the Building. Inspector for separate permits for these Items. SUBJECT PERMIT NO. City of Fridley 1 6 5 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � { CITY HALL FRIDLEY 55432 1'' NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/9/80 JOB ADDRESS 665-57th Ave. N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR, lat 55734 ar 3480 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick A. Smith 665-57th Ave. N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add on a 26.51 x 141 addition to the housn. 9 CHANGE OF USE FROM TO STIPULATIONS W TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 R-1 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,800.00 $6.90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P RFORMANCE F CONSTRUCTION.84.00 1 PLAN CHECK FEE 0 TOTAL FEE . -, 2 111 90 SIG URE OF NTR TO R HORIZEDAGENT (DATE) - e - WHEN PROPELY BLDG INSP A A E HIS IS YOUR ER IT AhbI DATE Si($NATtrREQF OVNERdF OWNER BUILDER) (DATE) CITY OF FRIDLEY• lJ" J APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: C -k A m�-h ADDRESS: In b's — - TEL NO: J i 1- BUILDER: Y4.,e! yi ADDRESS: TEL NO: Construction Location STREET NO: A 13 STREET: S-7 fA d - LOT - ,ARCE(- 7.3 C BLOCK: !y �� ADDITION: ,%0 /z S Z�LOT: � ��..._.- Corner Lot: Inside Lot: Setback: tgg Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION ALL) -n (D k) Front: T:7—i Squane.Feet: Depth: Height: Front: Depth: Height: CZor Cubic Feet: Square - Feet: Cubic Feet: 114 ko� Type of Construction: r/[ Estimated Cost: $ To Be Oompleteu: lQ Al 0 s `� ' Alt. A Alt. B Proposed Driveway Width If New Opening Is -Desired: $ $ Q SEE REVERSE SIDE OF SHEET Tile 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 d clares that all the facts and representations stated in this application are�rua7and-� DATE: SIGNATURE: Stipulations: X G.�3 a31 �. 33 ` : If2Y.00 • � 11 J .yo SUBJECT IP MIT NO. City of Fridley 2 19428 AT THE TOP OF THE TWINS BUILDING PERMIT _ RE T NO. • ______ COMMUNITY DEVELOPMENT DIV. r � L PROTECTIVE INSPECTION SEC. � 1 = , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/29/88 JOB ADDRESS 665 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 9 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick Smith 665 - 57th Avenue N.E. 571-7106 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. *AM same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove Existing Garage and Construct a 24' x 21' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a har d surface driveway. 4kv Rhi6 Before digging 0811 local EplioNE'�e+'r„ TE.. ppp..L^ -�'•�',`c r� '�/1 R�fWF.+�' 'yamFQ SiCN$' 'PVR SND A�A�� P�U�$,N� SVHFATiNGe WONG, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 504 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 $7,237 $3.62 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- $68.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTALFEE $72.12 SIGNATUR CO R AUTHORIZED AGENT (DATE, WHEN PROP RLY 1 ATED T IS IS YOUR PERMIT � a9�" BLDG INS P D E SIGNATURE ER(IF OWNER BUILDERI IDATEI 2 NEW City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: A IU`.f w 1- /e (� - e n t-4 A/�_ Tel. Contractor: Tel. # Address: 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: GARAGE AREA: DECK AREA: OTHER: Length Width Height Sq. Ft. Length .2-4 Width s J Height Sq. Ft. Length -6- Corner Lot [ ] Inside Lot M Ft. Yd. Setback Side Yard Setback _ Type of Construction: li ) 07-2,C�. a 127ZE-7 Estimated Cost: $ Approx. Completion Date: Ale? Sb Y )� 14 • coo " 7 �a'3'� q Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation r' DATE • PPLICANT : Tel. CIT USE ONLY Permit Fee $ torso Fee Schedule on Reverse Side Plan Check $ !—" 25% of Building Permit Fee State Surcharge $ ��� $•50/$1,000 Valuation SAC Charge $ $ 5,59 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: °7� D -,-,r) , `1 4 •o40 ci I i ggn74i ,.,.�. q �.�� � :cru �� 3slw j ;r, •� �_.��_� i., ��' _ _ 1 R It, I irP 1 w i X t I _ _ '2 I, lo y I,���,dN��4,a,�i� � k';F;�,�„ ,�`��� li� L�, 1�.��il-�},�...�_�...�,_ a { e•5.9�� I �pp ggn74i 1 irP 1 w i X t I _ _ '2 I,���,dN��4,a,�i� � k';F;�,�„ ,�`��� li� L�, 1�.��il-�},�...�_�...�,_ a { e•5.9�� it I I it I AGREEMENT I, ( z4 �LL 11 ) , owner of the property located at /� ��� .r % �✓ , have no objection to the City allowing the construction of a �NRO Cflftdkor fi to be located at &&S -►5 ,1 * QmA-W without the required certificate of survey that the City ordinarily requires for all new construction. /2J� /'J I /i d'3QX Date SUBJECT PERMI City of Fridley �.2 1.9477 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. I 16U• COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE J. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/18/88 10B ADDRESS 665 - 57th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 9 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick Smith 665 - 57th Avenue N.E. 571-7106 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 jI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 24' x 16' Above Ground Pool (Approx. 8000 gal) With Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan/letter dated 5/18/88 W ARII10""'Boom a diggi SEPARATE PERMITS REQUIRE® FGR "`{'PHONE • HARING, HEATING, PLUMBING AND SIGNS. REQUIRED By tpsw 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. l'. 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 $5, OOO $2.50 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. PLAN CHECK FEE TOTALFEE 1-7 $74.50 S TUREO O FACTOR ORAUTH ED AGENT (DATE) WH-EN PROPERLY L DATED THIS IS YOUR FERMI 0T — L� BLDG iNSP Dal iG A REOFO RpF OWNER BUiLDERi iDATEi NEW I ] ADDN [ ] ALTER [ ] Construction Addri City of Fridley R-1 AND R-2 Building Permit Application Effective 5/1/88 legal Description: 5 1,716 4Ae_ Owner Nave &Address: r e Tel. .E - /66 Contractor: 6 i�M E Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IIPROVEMM LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA- Length Width Hgt/Ground LEER.. �Y x G Qui Gv o - l,�l.fk Sg. Ft. Sg. Ft. Sq. Ft. Gbrner Lot I ] Inside Lot [ ] Ft. Y .S tback Side Yard Setbacks /r ¢ , �v DCS' "" Type of Construction: .� Estimated Cost: 5 ,5 , D Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $_ Width + 6' See Back Page DATE: _57-/S- 9? APPLIC?M : Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # Y21- 91,12t� CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary I ] Not Necessary I ] "YOF CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 18, 1988 Mr. Rick Smith 665 - 57th Avenue N.E. Fridley, MN 55432 Re: Swimming Pool Construction at 665 - 57th Avenue N.E., Fridley Dear Mr. Brooks: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minioum turnover of at least two (2) times in 24 hours. This department reads a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided wish decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. W, '� �`c•' '" �'�;'� � � .� � f r �r� r�:'''?4�,� E,ti pan, May 18, 1988 Mr. Rick Smith Re: 665 - 57th Avenue N.E. Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh I i F-, 5� 4� �a c 11 I 4e- SUBJECT City of Fridley 21114 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. .'COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. o /.J ' 7_3 2 r 1 NUMBER REV, DATE PAGE Of APPROVED 8V 1 /1 � CITY HALL FRIDLEV 55432 �""'�'� �'� 612-571-3450 910-F15 10/15/91 JOB ADDRESS 665 - 57th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 9 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Smith 665 - 57th Avenue NE 571-7106 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 Reroof Dwelling (25 Squares) Tear-off 9 CHANGEOFUSEFROM TO 'STIPULATIONS Underlayment must comply with.State Building Code, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING S0. 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 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 $1,300 $.65 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- $31.00 Fire SC $1.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT LFEE 32.95 SIGNATURE OF CONTRACTOR AUTHORIZED AGENT IDATEI _ WHEN OPE LYE HIS IS YOUR PERMIT k7fZl,!GNAT BLDG INSP GATE URE OF O IIF OWN E R BUILDERI IDATEI NEW [ l ADDN ( ] ALTER t l Construction Address: Legal Description: Effective 1/1/91 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: Contractor: ,96o/? je / Tel. # Address: 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: P,, iP�-�o�',s- <zaf1�- I---- C —T�-.a- 'Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 12 OZ) ' (Cat m Be*) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE• APPLICANT: Tel. #!5 CITY USE ONLY Permit Fee $ "3/. Do Fire Surcharge $ 1,30 State Surcharge $ , �S SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY 011� FRIDLEY INSPECTION DIV. Effective On January 1;1993 6431 Unhrersity Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 512-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SSCHEDULg The undersigned hereby mikes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated In this application are true and correct. / Q / ,1993 G/gs Piping (Needed with new furnace) $10.00 $ , &R5 /irl e ZGd G!i5 /®S OWNER 1,r�Y1 Gas Range c/ $ 10.00 $ BUILDING USED AS��J,c Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. *Air Conditioning — Alt Sizes $10.00 $ • DESCRIPTION OF FURNACE AND Oq SURNER All Others/Repalm & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEE BTU HP EDR HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILA ION REFRIGERATIONAIR CONDITIONING PERMIT IS 115.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Approved By �#;a Rough—In Date Final Date 2 % q 3 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks List Alterations Beinct Done• HEATING COMPANY Signed By Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: .1. Has been carefully examined Yes ( j No ( ) 2. Is free from rust or deterioration Yes ( ) No ( j 3. Has no foreign objects lodged within Yes-( ) No ( ) 4. Is securely supported Yes ( ) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( j 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Beinct Done• HEATING COMPANY Signed By Date SUBJECT P O. -711.1 City of Fridley 30160 AT THE TOP OF THE TWINS BUILDING PERMIT r RE EIPT NO. `v _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ­67 PROTECTIVE l �•� CITY HALL FRIDLEY 5SIJ2 NUMBER REV DATE PAGE OF APPnOVED BY ....... L 612-571-3450 910-Ft5 9/2/99 JOB ADDRESS 665 57th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 9 iDonnays Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rich Smith 571-7106 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors Inc. 341 79th Way NE Fridley 55432 784-8936 20098700 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 )(A REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit and fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Provide soffit ventilation to meet 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 1600 .80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $57.05 Fire SC $1.60 PLAN CHECK FEE TOTAL FEE ,WJ License S $5,f5 SIGNATURE OF CONCRACTOA OR uTNORIZ GENT IDATE. E P VA ID D TNI$ 1 O P�MIT SIGNATURE OF OWNEA,IF OWNER BUILDER) iDATE. BL G i p pAtt NEWT ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY AT [ ] SINGLE FARM V AND DUPLEXES mi --i AND R 2 BUILDING PERMIT APPLICATION Construction Address:� � �' 7-(-4 4-!/ Legal Description: --r%4 ,aLe- EA�! Owner Name & Address: Contractor: /) n (r e�u Address: Tel. # MN LICENSE # 76c., 1,91 -In Tel. # R]a!!V S,-'!2 3VO- 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: So Estimated Cost: $ O r Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: IV Llj Tel. # 7k Y V 7 X Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ C) C-) CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-12217 ADDRESS : 665 57 AVE NE PIN : 233024420017 LEGAL DESC : DONNAYS LAKEVIEW MANOR ADD : LOT 15 BLOCK 9 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT N • 2004-01603 • DATE ISSUED: 09/15/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL FURNACE (WARM AIR, GOODMAN, 60,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 0 APPLICANT SHARP HEATING & AC INC 7221 UNIVERSITY AVE FRIDLEY, MN 55432- (763)572-0459 SMITH RICKY & MARY M 665 57TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law re latin onstruction or the performance of constructi n. Applicant Date Bldg Insp ate4l D HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 14783 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION ` 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 r Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater 0_> kEffective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Commercia Vlndus-UiaVInstitutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. 1 $ ,SD HEATING CO Sharp Heating & AC Inc $ D.SA *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 763-572-0459 FAX# dr 763-572-0164 Date ` -(7-4y D( i Approved by Rough -in Date Final Date JOB ADDRESS (0fp5 5 7 of /}vim 9eI6- Ee Total Owner $35.00 $ 35• 0 0 Building Used As T cr i /g kC_ i a/c, JLi $10.00 $ ESTIMATED COST Jr PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER 1 $10.00 $ # of Heating Units Qircle One (Steam) (Hot Water) Warm Air Trade Nage 6;4cDA>7 W AW 7_060 Size No. $25.00$b (� BTU HP EDR Fuel �po17f��/1J Totalnected Load 1916244:57:2:! $ Burner Trade Name Size No. BTU HP EDR Commercia Vlndus-UiaVInstitutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. 1 $ ,SD HEATING CO Sharp Heating & AC Inc $ D.SA *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 763-572-0459 FAX# dr 763-572-0164 Date ` -(7-4y D( i Approved by Rough -in Date Final Date City of Fridley MN FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an exilsting furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No( ) The venting system is piastic/PVC and meets all current c odes and manufacturer specifications including sizing, length, number of elbows and termination. Yes' 1— No( ) The undersigned also verifies that the replacement unit is a listed assembly r/ and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a now combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes -0 No ( ) Appliance Type and SiligCommon Vent and Vena Connector Information Appliance #1 Type �Gi BTU Input +i ssisted or Nat Appliance #2 Type BTU Input man, sis ec Nat Appliance #3 Type BTU Input Fare Assisted or Nat Total Appliances _ Tctal Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height 3 ft Lengthft Diameter in Type APphance#2 Vent Connector Height,�ft Length ft Diameter in Type_ Appliance #3 Vent Connector. Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING i Signed By: Building BUILDING Permit No.: Inspections , RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:/© DATE /,3 — YOUR EE--M°AEL ADDRESS 6SITE ADDRESS 6 5'���� ��✓ /9 THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME - ADDRESS - S / / CITY STAT TENANT TENANT PHONE: %CJ • `J �% ! - %/ ®G� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �40OF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 1114EW ❑ ADDITION TIMI CE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: PSD® -4r- s? -'� law 64—, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES Q6 ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOR'S 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES TB�j6EDOON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � (USING THE 1997 U B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See'Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. �7 SIGNATURE OF APPLICANT j�, / r PRINT NAM02AC DATEZj $ $ , See'Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. �7 SIGNATURE OF APPLICANT j�, / r PRINT NAM02AC DATEZj