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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N? 2968 r .�. Date................................ Owner Builder .. % � P Address 4 7 �. r7 LAS Kf/,�e `� r .. Address . , (�. ...... ......... . LOCATION OF BUILDING No. .. �".�®.... Street .. � 4dW. ...................... Part of Lot ....................... Lot ...... e...... Block .... 6Y ....... dition or Sub -Division . .. * -/ I J , � Corner Lot ............ Inside Lot ............ Setback .j..... ... Sideyard ��✓.d/L�/?��C�: DESCRIPTION OF BUILDING To be Used as: ...... Front ... . 0 Depth e?..Cf ..Height Sq. Ft. /, ('? 14 0 Cu. Ft. ........ VI .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ Type of Construction...... ... Est Cost/. To be Completed .. ouexl.<� 3 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 village of Fridley. In consideration of the payment of a fee of $.�` .. ��permit is hereby granted to�pern-At Agt7?,' t to construct the building or addition as described above. s granted uppd ;he express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ NOTICE: j I This permit does not cover the construction, Installation or alteration for wiring I ing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for th terns. City of Fridley, Mim. BUEWING PERMIT N° 5152 Date: ""' r� �d f i Owner:P Y Builder CC Address Address — 0WBIL No. Street :2 ZMPart Lot Lot _ Blockon or Sub-Di►ie�t Corner Lot Inside Lot etback ideyard Sewer Elevation Foun on Elevation • DESCRIPTION OF BUILDING To U as: Front , Depth,;,2Af Height Sq. Ft - Cu. Ft T,, Ferro Depth Height Sq. Ft. Cu. Ft Type of Construction`- Est Cost""_" "To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 4<7076W_ , 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, , and moving of buildings within the city limits and this permit may be revoked at any tim n oltion of y of the provisions of said ordinances. A Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, Bae heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUUDING PERMIT CITY Or FRIDIEY,n v 0- 154-, Address LOCATION OF BUILDING No. / % Street _ �% _ _ _ _ _ Part of Lot Lot Block Addition or Subdivision P Corner Lot Inside Lot Setback �4 Side -Yard SE+JER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 424 Lisa Front�- Depth---or- worm To be Completed Sq. Ft. Al $ ',4 Cu. Ft. Front Depth Height Sq. Ft. Gu. Ft. 1W elv ted Cost_ 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. A o (A Schedule of Fee Costs can be found on the ReveV a Side.) 11 i 'L Applicatia� for Power Plants and Heafln% Cooling, Ventilation. Rewhigen naw and Air Conditioning SYdenis and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL. Furnace Shen & Duct Work ................ .. $10.00 $ Replacement of Furnace .... . ..... .. ..... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $— Repairs & Alterations each add. $500.00 3.00 $ ---- MECIL WARM AER Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 ; each add. 60,000 BTU .................... .. 3.W i Replacement of Furnace 6.00 Repairs & Alterations—up to $5o0.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 = STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ _ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 198,000 BTU) 5.00 ; over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures s$ Zoo $ Additional Fixtures a .RS ;- Gas Range to 199,000 x$ 6,00 $ v f AIR CONDITIONING C i1 � l ez, . :L- 0f p FAN HEATING SYSTEM seeFeeSehedub VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL ^ 3 U m -71 Dept. of Bldga. Phone 860.3480 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, Minn_ 18 Owner Zr a--�) Kind of Building ._ ` 1 e Y 2 L Used as To be completed about __._ r 7 c� Estimated Cost, ldl New. Building Permit No. Permit No. M 0) r. '" 'i i;jgr . ; . ; . HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU Hp Total Connected Load Kind of gyel BURNER — Trade Name Size No Capaci Sq. Ft. E.D.R BTU IAP. (REMARKS -OVER) Business Phorte No- 4 04 '7 "e !off & e July 12, 1971 Hansen Electrical Contractors a, 6409 Lyndale Avenue South Minneapolis, Minnesota Re: Electrical Permit Shortages Dear Sirs: The following is due on the following electrical permits: 123 Glen Creek Road; $4.25 __ 3.00 Due $1/25 �a� 67057th Avenue: $4.25 ' Paid J 3.00 Due $1..25 6725 Renneston Drive: $4.25 Paid 3.00 Due $1.25 Total Due: $5.00 18 - 66th Way.N.E.: $4.25 Paid i 3.00 Due $1.25 LEONARD EICMrMER Electrical Inspector LE/mh r SUBJECT P, R City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. Jam`, ®��^ CITY HALL FRIDLEv 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/7/92 JOB ADDRESS 670 - 57th_ Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 10 Donnay is Lake View Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Knight 670 - 57th Avenue NE 574-0573 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Smae 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 O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO -STIPULATIONS 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 $2,400 $1.20 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- $54.00 Fire SC $2.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ,. $57.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE T (DATE) WHEN, PROPS Y L A V,HIS IS YOUR PERMIT i BLDG )NSP �lA� E SIGNATURE OF OWNER IIF OWNER BUILDER) IOATE) NEW [ ) ADDN I j ALTER I ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Z 7 o Legal Description: --/o-� Owner Name & Address: O&-� 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. Effective 1/1/9Z DESCRIPTION OF IMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK ' AREA: Length OTHER: Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:Estimated Cost: $ `� 0 C3 Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: (Cw Ft. + 6 Ft = Ft x $ c-� CITY USE ONLY MK? Tel. # Permit Fee $ zz5q, 011 Fee Schedule on Reverse Side Fire Surcharge $ • <4 0 .001 of Permit Valuation (1 / 10th %) State Surcharge $ 1 P-0 $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL STIPULATIONS: $ -�'7' (® CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $� (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ Commercial/I ndustrial 1.25% of Value of Appliance or Work $ Effective On January 1, 1997 JOB ADDRESS_ The undersigned hereby makes app4ation 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. �/v 1199S OWNER BUILDING USED AS ESTIMATED COST, ��� Q� PERMIT NO. (� DESCRIPTION OF FURNACE AND OR BURNER No, of Heating Units Circle One (St Trade Name��,�,����, BTU & Ga HP Fuel 1 ' ,4 s Total Connected Load am) (Hot Water)arm Air Size No. 00.17 State.Surcharge $ .50 Burner Trade Name TOTAL FEE u" , 40 MINIMUM FEE FOR ANY HEATING/COO LIN GNENTI LATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. i BTU Size No. HP EDR HEATING COMPANY'�'a J'0'! ® Signed .-- Tel No.47sfJ —22 1 �Ll Approved By Rough—in Date Final Date _&�71-E FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE CHMMY AND STACK VERIFICATION The undersigned hereby verifies that the .existing chimney or stack: 1. Has been carefully examined Yes (P) -'No ( ) 2. Is free from rust or deterioration Yes (,ll' -"No ( ) 3. Has no foreign objects lodged within Yes () No 4. Is securely supported Yes (kj"'No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (,KNo ( ) 6 Has total heating BTU's of �� U,::�; All other BTU's SO O0 U TOTAL BTU's GO 7. Has a liner been provided for water heater Yes k-J'No ( ) 8. Has combustion air been provided for water heater Yes ""'No ( ) Remarks: . List ALTERATIONS Beim Done: HEATING CO: Signed By: Date: SUBJECT NO. City of Fridley 2 8 8 588 THE TWINS BUILDING PERMIT ��i-06 R2 COMMUNITY DEVELOPMENT DIV. -1,34r PROTECTIVE INSPECTION SEC. I NUMBER REV 111116/98 DATE PAGE OF APPROVED BY ` �'� CITY HALL FRIDLEY 55432 ._-•��"' L 612-571-3450 910-F15 JOB ADDRESS 670 57th Avenue E 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 10 iDonnay's Lake View Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Helen Knight574-0573 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Aye n Frid1py SS432 502-4727 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 Jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 11 windows in home with pocket inserts 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 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 QE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5618 $2.81 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 $112.25 Fir C $5.62 PLAN CHECK FEE TOT F E Licens $5. $ .68 SIGNATURE OF CON'RACTOR OR AUTHORIZEDAGENT IOATE.EWROA IDAIS I$ Y Ufl P�T (/� gAiE SIGNATURE Of OWNERo6 OWNER BUILDER, IDATEI NEW " r ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address:ja Tel. # 5'% "()6q j Contractor: MN LICENSE # 00040te 30 Address: �3 Q JU�Qa(1L1�� —Irl_ [ ��Jo1 Tel. #' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT ti LIVING AREA: Length Width Height 1 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: '--Ronlr'►[0 11 ini'nfinkto iM4)nmo i►rfln rYTno+iNnah+n Construction Type: Estimated Cost: $5i o g (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #'Rgf, ' o� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL S 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 [ ] STIPU ATIONS: SUBJECT PE City of Fridley ��80 E T P F THE TWINS BUILDING PERMIT ® RECEIPT NO. r.v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC r � � PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L „ 612-571-3450 910-F15 12/28/98 / JOB ADDRESS 670 57th Avenue 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 lO Donna 's Lake View Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Knight, Kenn et%I 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Ex REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 22 S 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1885 $.94 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $59.50 Fire SC $1.88 PLAN CHECK FEE TOTAL FEE 62 2 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGE NT IDATEI "ogoireNOPER LIDATED T S IS YOUR PERMIT I L - f. _ S-GNATURE OF OWNER,IF OWNER BUILDER, -,DATE. 9L 'NSP _,A gArE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6 70 Legal Description: Owner Name & Address: , Leg �� 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 GARAGE AREA: Length Width Height DECK AREA: Length —7�— / Width Hgt/Ground OTHER: pe'. °R �l -,1- 6T, eX � Sq. Ft. Sq. Ft. Sq. Ft. "y_ Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ I '? Y.5– DATE:I �1' APPLICANT: Tel. #y Permit Fee $ 5- 9 • �� Fire Surcharge $ / State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 3J_ 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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 19916 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** _� $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance JOB ADDRESS D /"L The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used As Estimated Cost KNIGHT, KENNETH 670 57TH AVENUE NORTHEAST FRIDLEY, MN 55432 (612)574-0573 PLUMBING COMPANY SIGNED Approved By PERMIT NO. Rough—In Date State Surcharge $ .50 MINIMUM FEE tOR ANY PLUMBING/GAS PERK TOTAL FEE $z6.50 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 15/1 V_ 199 It adw GiYOf FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 25, 2000 Kenneth Knight 670 57 Ave. NE Fridley, MN 55432 Re: Final Inspection at 670 57 Ave. NE Contractor: Norblom Plumbing Co. Dear Mr. Knight: A plumbing permit was issued on May 17, 1999, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DA��/ Buil ngins nspecector SUBJEct ERMIT N City of Fridley 324132 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r I PROTECTIVE �•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910-F15 1/29/02 JOB ADDRESS 670 57th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 10 Donnay`s Lake View Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ;IP PHONE David Van Diepen, 670 57th Ave NE, Fridley, MN 55432 763-586-0470 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen, 350 73rd Ave NE, Fridley, MN 55432 763-502-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 20130983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK Cj NEW O ADDITION O ALTERATION 0 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace one window within existing opening 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. Permit InspeGilon Cerus Will Be Mailed TO Homeowner To TIMI 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 d ANY TIME AFTER WORK IS COMMENCED. ' NO OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,988.00 $2.49 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 $ 1.11.25 /4199 Fire SC PLAN CHECIF OT LFEE 5. en 123.73 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PR LY VA E THIS IS YOUR PERMIT I S-GNATURE OF OWNERIIF OWNER BUILDERI IDATEI 9L Ipsp DATE NEW[ ] Effective 5/10/99 ADDN [ J CITY OF FRIDLEY ALTER (J SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: � �d Vqr►"� Q,�cty Tel. # + tui -590 04t O Contractor:;n�\ 3 u Ar�ec5 1 MN LICENSE # a?0 /3098 3 Address: 3gg) - %1U -d At e . �. � . �c ,cel tca , mN �5�-13a: Tel. # J1o3. 50a• -}-�- Attach. toibis application, a- Certificate' of Survey. of the lot, with the :proposed tconstruction drawn -ort -it to scale. DESCRIP�lON OF IWYMVEMENT. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width ` Hgt/Ground Sq. Ft. OTHER: �41X i S�iv�q �1� Construction Type: Estimated Cost: $ 4,9 $'3 Driveway Curb Cut Width Needed:' Ft. + 6 Ft = Ft k $ _ $ DATE: -Tan • 0*,j APPLICANT: Tel. # g S�• 3cJ�•(p �Y• CITY USE ONLY Permit Fee $ Fee Schedule on -Reverse Side Fire Surcharge $ -C) `] .001 of Permit Valuation (1/10th%) State Surcharge $ r9 . q q $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ >- Q b $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 [ ] 3 TOTAL $ ?J3 STIPULATIONS,