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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT �..r Date:® ....................... Owner....................................... Address...................................... IIT° 1814 Builder �...... .. ................. Address............................................. LOCATION OF BUILDING No. . fo. . ®.... Street ... t . fir..................... Part of Lot ....................... ....... . / Lot ....N ........ Block .....� .......... Addition or Sub -Division . � ...... . Corner Lot ........... Inside Lot .. .. Setback J-4'... Sideyard ... Z. ® ...................... DESCRIPTION OF BUILDING To be Used as: vl. ...... ... Front .7.d... Depth`. Height ... Sq. Ft. ........ Cu. Ft. ........ ...I ................. Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ....... Est. Cost ../J..') 0.....0 ........ 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 village of Fridley. ..................................................... ` do 10� 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .. ............................ Building Inspector ' t NOTICE: This permit does not cover the cns 'coon, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. ty of Fridley, Minn. BUILDING PERMIT N® s8o� Date: Owner:�Builder —...,� -- Address Address _ LOCATION OF BUILDING No.&fi Street Lot Lot s __ Block — Addition or Su4b- ,,,ZDion Corner Lot _ Inside Lot —�_.--SetbackY Sideyard Sewer Elevation F dation Elevation DESCRIPTION OF BUILDING T as: `A FrontDepth Height ,C_..._ Sq. Ft. Cu. Ft Fro Depth Height _ �, Sq. Ft Cu. Ft Type of Construction _ Fst -'�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 $ , 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 permit may be revoked at any time upon violation of any of the pro�� of said ordinances. -.--. Building Inspector • NOTICE This pennh dose not cover the condruction, hutaiiation for wirteg, phanbing, pas heating, sewer or water. Be sure to see the Building hupecter for separab permits for these itenn. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S PIAME ADDRESS ADDRESS A / LOCATION OF BUILDING No. Street 4. f Lot Block Addition or Subdivision :Z�: Corner Lot Inside Lot w,-- Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Part of Lot Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 0 Gam: CFront Depth Height G f L, Sq. Ft. Cu. Ft. `,l Type Front Depth Height Sq. Ft: Cu. Ft. of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City 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 correct. DATE�'� SICNATitI E (Scbednle of Fee Costs can be found on the Reverse Side). • • City ®f Fridley, Minn. BUILDING PERMIT Date: June 15, 1965 No '7884 Owner: E: K• Benson Builder Finnish sh m s, Al dr, Ince Address —&0 58th Ave. N.E. Address 5738 zane Ave. No. LOCATION OF BUILDING No. 640 street 58th Avenue N.E. _ Part of Lot Lot 5 _ Block 7 Addition or Sub -Division . Lakeview Manor Corner Lot Inside Lot — Setback Sewer Elevation To be Used as: Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft Cu. Ft. Front Depth Height Sq. Ft. Cu. F't. Type of Construction Est. Cost — _____ 9 000— To be Completed Repair Storm Damage 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 forth and compliance t21jP17. of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to '04 nni ab anuma Bldrs. Inc. 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. Men Jensen Building Inspector NOTICE: Yids permit don net cover the aonatroatioe, humMMon for whdng, phmQng, gas hostieg, sewer or water. Be wn to see the Building Wpeder for aepmte pennhs for these items. City of Fridley Application for Plumbing and Cras Rtting Permit 52-84-879.01 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location 640 lVE • 5$ Ave. Number, Kind and Location of Fixtures rn oBBE u� ��(�7K 0 (�9O F N WATER HTR. GAS ELEG Base 1st 2nd _ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..............""..... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... 1 Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn July $, 1970 , 19— Owner Occupant Kind of Building f rame Used as residence To be completed about Jul; j 100 7970 Estimated Cost, $ 10.00 Old KNew. Building Permit No Permit No. — x $2.00 $09"NZ67 — x $1.60 $— x $1.50 $ BuPh o - -x$3.26 $ _ x $3.00 $ MINNEAPOLIS �� A — x $3.25 $ ROUGH _ x $2.00 $ FINAL—J/ % —1 j — -7NO. RATE TOTAL — x $2.00 $ 2,00 move meter in to out. —x$.75 $ — x $5.00 $ Description ................................................$ TOTAL FEE $ 2.00 4z CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job AddressZ/ &40 -J Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU a d. 50,000 BTU Qg2jacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, /Minn. ' i , 19-fLa- OWNER Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ .00 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00��77 $ AIR CONDITIONING* r����Kr$ /0.00 FAi 1S $ ee Fee Schedule aAj VENTILATING SYSTEMS l $ ALTERATIONS $ REPAIRS_ J $ Stare Surcharge $ .50 TOTAL FEE j40 -.6 -b ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. uace APPROVAL FOR PERMIT MINIMUM FEE FOR,ANY HEATING PERMIT IS $7.50 KIND OF USED AS TO BE COMPLETED ABOUT ESTIMATED COST `N [ J ).(-T- S- „(-TOLD - NEW BUILDING PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, oWa—rmAi- No.Trade Name B Size No. (J Capacity Sq. Ft. EDR BTU_ HP Total Connected Load Find of Fur=l BURNER - Trade Name Size No. Capacity Sq. Ft. D' BTU d lip CompanyCk .%fi ,�[���,/�� -.1 1 Signed By f„ Fridley, MN 55432 572-36nel ­% APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: NC. RATE TOTAL JOB ADDRESS 0 0 S7 ,4,lz 'L),,- 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 - Gag" Gas Range" Gas Dryer' 'sack Flow Preventer Required ( }Yes (} No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.0C/Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ •50 TOTAL FEE $ .56 The undersigned hereby makes application for a permit for the work herein specified agreeing to do ail 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 k BAe v,/5 o nl Building Used As f'k"E Estimated Cost -6- �-S.uu' PERMIT NO. / ;, / � 2 PLUMBING COMPANY SIGNED BY TEL NO. Approved By Rough -In Date Final Date "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. Building BUILDING Permit No.: ek�y,,,��'7 OfInspections RESIDENTIAL APPLICATION Received By: ' ' 763-572-3604 CITY OF FRIDLEY Datd:OCT 2 -1 2T0� &, '° 763-502-4977 FAX EFFECTIVE 1-1-08 DATE oL OYOUR E-MAIL ADDRESS I 5 `C � / SITE ADDRESS 1, O I.Li j Ug — THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: ! &V IV ADDRESS: S�� 5� `fIi At -,C- CITY FZ c J STAT0I & ZIP- l TENANT PHONE: NAME: c ADDRESS: (S3.3 I l . Ld L P j ",l=" -J CITY t != STATEM/gIP -S� CONTRACTOR SUBMIT A COPY OF PHONE S 7 K - -% 966 FAX YOUR STATE LICENSE STATE LICENSE # �p S ( EXP DATE PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: T06 TZ -aF F- aGrk no SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING c ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 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 ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AINll MATERIAL: BUSING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $_ 3 SO OCCUPANCY TYPE Permit Fee $ (T) �R s See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley 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 application for a permit and work is not to start without a permit on site; that the work will be in accordance with the appioved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE /OA c APPROVED BY __ DATE