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PRE 2010 DOCSr� SUBJECT RMIT NO. City of Fridley !_ i 7 7 0 5 AT THE TOP OF THE TWINS BUILDING PERMIT r L RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i � NUMBER REV. DATE PAGE OF , APPROVED BY it ��--- � CITY HALL FRIDLEY 55432 L ----� 612-571-3450 910-F15 9/7/84 JOB ADDRESS 435 - 57th Place N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Vi 5, all 4 City View Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Brandon Construction 311 Sunrise Lane, Champlin, MN 55316 427-7725 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. ERERATE PERMITS REQUIRED rOR WIRING 8 USE OF BUILDING W-ATING. PLUMBINGANDSIGN& ! tl` L 16 IV4] �i1V SIGN& Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 40' x 275" Dwelling and a 21' x 22' Garage and a 10' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS provide sod in the front and side yards. Provide City with copy of the verifying survey before capping. Provide a hard surface driveway: lot split approved by the City Council on Aug. 6, 1984 (Res. #84-92). SEWER LOCATION: (Approx. 11' Deep in Street) 189' E. of M.H. (Inv. 837.08) WYE ELEV.: 838.42 TOP OF FOOTING: 841.92 Minimum (OR) 128' E. of M.H., Elev. of Wye: 837.59, Top of Footing: 841.09 WATER LOCATION: 199' E. of M.H. (OR) 240' E. of M.H. WARHP"j 1t.3 CITY Of FRIMEY DOES NOT GUARANTEE IML. Before digging call local utilities -,hCC'Ji?AC%' OF UTILITY LOCATIONS AND ELEVATICrrt TELEPHONE - ELECTRIC - GAS Etc. iHl$ ()AIA IS " INFORMATION PURPOSES ONLY Arm REQUIRED BY LAW i`FRSCrei; USING R WOULD VERU" THE INFORMATK* ON THE SIT►. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. GTOdd'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 912 + 484 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERN) TYPE OF WORK WILL BE COMPLIED $53,200 $26.60 WITH WHETHER SPE HEREIN OR THE GRANTING OF A PERMIT OES P E TO GIVE AUTHORITY T VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE R ISIONS Y OTHER STATE OR LOCA LAW REGULATING CON- $295.00 $425.00 UCTIO OR TH PERFORMANCE OF CONST UCTION. LAN CHECK FEE TOTAL FEE 73.75 $820.35 SIGN U OFCONTRACTORO ORI2EDAGENT IDATEI r VHM PROPERLY V5ADATED THI IS YOUR PERMJT LDG )NSP TE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) r� NEW [ 41 ADDN. [ ] ALTER. [ ] Construction Address: _'I Legal Description.- Owner Name 6 Address: Contractor Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley �R-1 AND R-2 Building Permit Application W- Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT e Length Length Length Width 22'S" Width Z' Width Height Height Hgt/Ground Effective 4/1/84 Tel. #� Tel . # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ Ft. Yd. Setback = Side Yard Setback 16 e• Type of Construction: Estimated Cost: Approx. Completion Date: 63e1 Alt. A Alt B %j Is Desired: Proposed Driveway Widt If New Opening See Back Page for Explanation Tel ;; # ��% 85 DATE: APPLICANT : �1�1ed� . CITY USE ONLY Permit Fee $ 0c) Fee Schedule on Reverse Side Plan Check $ �3+ 25% of Building Permit Fee State Surcharge $ �• $.50/$1,000 Valuation SAC Charge 2.5', 0 y $425 per SAC Unit ' Park Fee $ Fee Determined by Engineering Sewer Hain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: dlea a- SP �.�� 'z-`� � ►dam Qu vxr-0 Sq- 01-L- (�VG G 11 "� TH 1), A11H �IH VH OTAi kl"!�.3Z' 0 1 ok ilk Li P. v r- e FOR = EB R A t4 01 CP 74 CoKsi-1tuc--riot4, INC. -et. 37 MAres. .to N AND AT DRIVEWAY OPENING,,S, C .fL '4 7,A k6 L16/ w aZ Beim digging Call local U11111le'. TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW it nit.) q-- S -r" Pi-Ar—ca F�A R c- E. %— A LOT 4 Awn, THE Wv—rs-r I -AAI -F' OF LOT 5, f5LOC-W, 4, C%-r%e V%F-uu, ANOWA C-ouwry., M1NMF-S0-rA- rjt- FRILAB DOES F GUARANTk` ik OF UTILITY LOCATIONS AM ELEVAPC..' jI rAj,,. IS fOP h4FOR1,AATION PUPPOSES ONLY u4MC * r SHOULD VERIFY THE INFOPI.,-,611 0 VLtAep-rr-9 lFtcpm I hereby certify that this survey, plan plat, preliminary Out or report mus prepared by nx or under my direct supervision and that I am a duly Registered Lund Surveyor under the laws of the State of Yinnesota.L&CM rw 4 010 /OCFft — ;5cll�- Reg. No. Date Job No. Book No. -1 — - 661 61 �iJf� 838.x2 P/42-) olor4e -� 6 x attecLIVe Puy, a, ♦yo♦ CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, now Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. RATE $ 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fp $ State Surcharge TT_ ($15.00) TOTAL FEE TOTAL $ �1 . Job Address "l Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict agcordancq with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. / / 19.5p,,/ OWNER _-Ap" 0,"� KIND OF BUILDING e USED AS TO BE COMPLETED ABOUT ESTIMATED COST .!7 OLD - 6�)BUILDING PERMIT NO. PERMIT NO. Company Signed Tel. No. ROUGH INSP. Date FINAL INSP. " OJ Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT TS $10.00 PLUS THE $.50 STATE SURCHARGE 0 > m a u K d Water ,� m w e -144 i N a w Heater c 1m� M t M-a�04 Y .4114 -c U m D A H a G w g u 3 'i o s lec I�q u 01 U) og chi I � lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, now Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. RATE $ 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fp $ State Surcharge TT_ ($15.00) TOTAL FEE TOTAL $ �1 . Job Address "l Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict agcordancq with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. / / 19.5p,,/ OWNER _-Ap" 0,"� KIND OF BUILDING e USED AS TO BE COMPLETED ABOUT ESTIMATED COST .!7 OLD - 6�)BUILDING PERMIT NO. PERMIT NO. Company Signed Tel. No. ROUGH INSP. Date FINAL INSP. " OJ Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT TS $10.00 PLUS THE $.50 STATE SURCHARGE 0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas NO. RATE Gas Range Gas Dryer Back Flow Pr venter Required MYes () No Type-_ V \ $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS �/� ,O� 11117 �2� $ .50 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 E ' /1" 4-� Building Used As _ CeZ EstimatedCost PERMIT NO. PLUMBING CO SIGNED Approved B Rough—In Date TEL N0. Final Date _ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE SUBJECT City of Fridley 28518 F THE TWINS BUILDING PERMIT RECEIPT N I 572-3 _ COMMUNITY DEVELOPMENT DIV. ` SEC. r PROTECTIVE INSPECTION 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910.F15 11/4/98 JOB ADDRESS 435 57th Place NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E1/2 S 6 4 Cit View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nho Tran586-9767 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roofin549-4211 2017191282 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 BaK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 21 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 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 1799 .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 PERFORMANCE OF CONSTRUCTION $56.75 FirA SC $1.80 PLAN CHECK FE TO L'FEE License -S 5. 4.45 SIGNATURE OF CON-RACTOR OR UTHORIZED AGENT 4DATE, EN ROP BLD 11 VA IDA D T IS IS YOU `PERMIT ��V I�AtE S-GNATURE OF OWNER,,F OWNER BUILDER, iDATE, NEW [. ] ADDN [ ] ALTER [ ] ConstructionAddr Legal Description, Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ?60 Owner Name & Address: N In a _ Tel. # 6✓-"F5iv -27 69 7 Contractor:/0 MN LICENSE # 2CO 9/2.8'x. Address- - "-kSlbnw-�IA416yi Tel. # 5LI E- L%c35 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: v pQ_ Construction Type: ® Estimated Cost: $ 3-100 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �o[. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control APPLIC ,_"Tel. # 5LI-$ - 4-1 c. 5 3 S Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 6,11y 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 [ ] o�_ol ala- f �� 1-0-- Building MECHANICAL Permit No.: Ilsspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: -- DATE YOUR E-MAIL ADDRESS SITE ADDRESS a THIS APPLICANT IS: ❑ OWNER VONTRACTOR PROPERTY NAME: ADDRESS: 1AA 19 CITY STATE ZIP OWNER/ TENANT 01 PHONE: CONTRACTOR COMPANY NAME: fwa, _ SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE3 #2 EXP DATE LICENSE WITH /�,,"L / ADDRES-Sy13V I%I Pl CITY C D TE /� r/lLIP APPLICATION PHONE 17 FAX S b PERMIT TYPE lI SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW IXREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) r Labor cost under $300 = $15.00. Labor cost between. $300 to $500 = cost of labor' - X.05= 'r; _- •` ' r FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) / Equipment Installed MFG: � MODEL. D ' I /Q, SIZE/BTU o b b MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 NEW _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 $35.00 VFURNACE $35.00 UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVEk $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x$35.00 = $ � State Surcharge = $ 50 Total = $? 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 11 work which re ut review and approval of p . !an � ,� j CAW SIGNATUREOFAPPLICANT,� Y' 1/�'�" ' PRINT NAMEKM Ir I • 1.C�i CA DATE �� b D PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977