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PRE 2010 DOCSCity of Fridley, Minae BUILDING PERMIT N° D932 Date: - /0 .�16 .► x Owner: Builder Address __ _ Address L N O BUILDING No. Street �,e<_ Part Lot �— Lot __ Block ---Addition or Su on s Corner Lot Inside Lot _ lhftack Sideyard Sewer Elevation _Foundation Elevation �. DESCRIPTION OF BUILDING To Us' as: T1 Front y_ Depth Height, Sq. Ft. Cu. Ft. — Front Depth dW Height Sq. Ft. Cu. Ft. Type of Construction!, Fit. 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 permit is hereby granted to to construct the building or addition as described above. This permit is grantedupon 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 uponviol qn of any of the provisions of said ordinances. _ A O Building Inspector NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. 89 aura to am the Building inspector for separate permits for these Items. APPLICATION FOR BUMDTM PERMIT c4TY OK FRIDLEY, MINNRSOTA Owner's Name I+uilder Address .%%*dress LOCATION OF BUILDING No. Street ` Lot Addition or Subdivision Corner Lot Insid : Lot Sptbac SEWER ELEVATION ELEVATION of Lot Applicant attach to this form Two Certificatss of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front__ DepthZ,1— Rei ght��� Sq. Ft._ Cu. Ft.y Front Depth Height Sq. F:.. --�— W. Yt . �. Type of Construciio ►— Estimated Cost \ool To be Completed the undersigned hereby makes application for a permit for the work herein specified, agreeing to coo 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 tzce and correct. DATE/ — (� SIGNATURE­S� (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT P7-19i74 City of Fridley G AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r COMMUNITY DEVELOPMENT DIV. INSPECTION �� ��� r PROTECTIVE SEC. � i1 i �,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY --•-� L 612-571-3450 910-F15 6/30/88 JOB ADDRESS 650 - 58th Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 4 7 Donnay l s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Schack 650 - 58th Avenue N.E. 571-7683 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Klatke Construction Co. 5242 France Avenue North 535-3178 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 KQ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install brick front on Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide frost footings or other proper support 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 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 l 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 $1000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI SOF ANY OTHER STATE OR LO AL LAW REGULATING CON- $25.00 STRUCT ON R THE PERFORMA C OF CO STRUCTION. PLAN CHECK FEE TOTALFEE $25.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) 4:1EN PROPERLY VAL TED THIS IS YOUR PERMIT i G SIGNATURE OF OWNER (IF OWN ER BUILDERIIDATEI BLDG INSP Oa7E NEW I ] City of Fridley Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER Building Permit Application Construction Address: K50 — 576 ae,,-- ? G t Legal Description Owner Kane &Address : /WJL • Tel. t, 71- 7 C F Contractor: Tel, #53S - 317 Address: A�&,L�— —rLe:�' e Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AREA: Length Width Height SgFt. CURAGE AREA: Length Widt:: Height al. Ft. Width F71 Std. Ft. Oorner Lot I ] Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Approx. Completion Date: Estimated Cost: $_ /9 0 O - Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: S $ Width + 6' See Back Page DATE : a *PLICRNT Tel. # S 3 9'" �; 1 7 6i CLTY USE CNLY Permit Plee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer !lain Charge TOM AS 13 • (30 F PLee Schedule on Reverse Side $.50/$1,,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Plee Determined by Engineering Agreement Necessary I ] Not Necessary I ] C,(L' 01-VAL n. SuBjECT P O. City of Fridley '2 9 6 0 7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `V �_____ COMMUNITY DEVELOPMENT DIV. (3 r PROTECTIVE INSPECTION SEC, 3 3 0 1 � = CITY HALL FRIDLEY 55432 NUMBERDATE REv vAGE OF APPROVED BY 612-571-3450 910415 6/3/99 ,OB ADDRESS 650 58th Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 7 1 Donnay I s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Henry Schack 571-7683 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 18979 Gladstone Blvd Maple Grove 55311 416-4804 20010277 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 house and garage (20 Sq) Tpar-off; (In Sq) 2nd laypr 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be 2nd but not 3rd layer. 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 1 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 $2491 $1.25 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 $83.25 Fire SC 2.49 PLAN CHECK FEETOTAL F E Licens 5.0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE, P PE IOAT HIS IS Y UR P R J SIGNATURE OF OWNER OF OWNER BUILDER, ,DATE, BLOC INSP gAtE NEW lV �'.l'Y ADDN ALTER RUG --28-1998 10:04 FROM CITY OF FRIDLEY or �l I CI'T'Y OF FmLEY SXNGLE FAIMY AND DUPL "M R-1 AND R-2 BUfL DING PEUM APPLICA-ION h 41E48O5 P.01/02 E flttiv�}/1/9S �6- 0 X33 A i Owner ii" 11n- & Address:U 0 M.� Contractor- . _. .. N Uc Attach . Yt i F . ..: .., _, , i with the MY t ►s -a. i ` w , i 1 drawn • Cit to LArWG AMM Length Width -_ Height Sq. Ft. GARAGE AMA: 1"gth Width � Kcight � Sq. Ft. DECK AREA: Length Width � I�dGround Sq. Ft. 1 MW OmA cma 111 , n�: � t . s �� .�eR � � r x. ; rte.! i„ • ,". �► Schedule Width aM perp* FCC $ Fire Surcle $ q State Surcharge $� SAC Charge $ Lyse Surcharge $ a CT® Driveway Escrow $ Brosion Control $ Par& Fee $ Sewer Main Charge $ + Mss . J,V-!-Om V • -1-3 WC ), Fee Schedule on Reverse Side .001 of P'c=* Valuation (1/10 6%) $.S0/$I, Valunthm $1000 per SAC unit $5.00 (State ]Licensed Redd ntial Coors) Alt. "A° or Alt. °B" AbOYO $438.00 Conservation Plan Review Fee Deter nbmd by Engiueering Agreement Nmmtry i I Not Necessary [ CITY OF FRIDLEY INSPECTION DIViSION�� 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On May 10, 1999 JOB ADDRESS Ly 5C' 3 OWNER_ .2_C_6o�Z-_IS Rate TOTAL BUILDING USED AS $ 30.00 $ 36.0'b ESTIMATED COST 2 ®, PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units / Circle One (Steam) (Hot Water) arm Air $ 10.00 $ Trade NameA&A,=_& Size No.9:MAW c.Zn ajy6 BTU 720, j5ob HP EDR $ 25.00 $ 2 SAn Fuel /sYW C&. 0.1 Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY-HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are -true and correct. HEATING CO .D.rr�,tA�rt Aix t.). go if .0s Signed DATE 9 Approved By Rough -In Date Final Date k— !�'�/ CHDJNEY AND. STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes (✓� No ( ) 3. Has no foreign objects lodged within Yes (-'� No ( ) 4. Is securely supported - Yes (/I No ( ) 5. R Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater List ALTERATIONS Being Done: Yes V No ( ) Yes ( ) No ( ) Yes () No ( ) HEATING CO:_y / �©_ /� ®S�o d &--��� Signed By: egazo Date: