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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 3169 Date: .. ?? ............... Owner Builder ............................................. Address...................................... Address ............................................. LO ATION OF BUILDING w No. .�... Street 4... � ....:.................... Part of t ........./OL, .. ......... . Lot ....... !.... Block ... ........ Addition or Sub -Division ... .... ...11.� .. Corner Lot ............ Inside Lot .. ...... Setback ............ Sideyard ..1 . DESCRIPTION OF BUILDING To Used as: (QJ p ...... Front . �' Depth . :�n y Height ....O• .. Sq. Ft. V.. Cu. Ft. ........ Front ........ Depth ... Height ...... Sq. Ft. ........ Ctb Ft Type of Construction!1!�R./...... Est. Cost��®.� . ®:....... To be Completed ..s ...... In consideration of the issuance to me of a permit to construct the building desribed 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. !./.�..w :.. ...................... In consideration of the payment of a fee of $*1......... 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. e 1 A404A.�W wilding 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. 0 Date: 0 r� U City of Fridley, Minn. BUILDING PERMIT SEPTEMBER 6, 1967 HERVEY W. ARNOLD Builder N9 9432 BLANSKE CONSTRUCTION Address 661 - 58th Avenue N. E. Address 4029 Silver Lake Road Fridley, Minnesota 55421 Minneapolis, Minnesota No. 661 Lot — 16 Corner Lot —A Sewer Elevation To be Used as: LOCATION OF BUILDING Street 58th Avenue N. E. _ part of Lot Block 4 Addition or Sub -Division .__ _ Donnay's Lakeview Manor Inside Lot ._ Setback --- Sideyard — �__._ -- Foundation Elevation DESCRIPTION OF BUILDING Larger Kitchen Front 14 Dept 10 Height 8 Sq. Ft. 140 Cu. Ft. 1,120 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _$2, 225.00 __ 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 afl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5 .00 . permit is hereby granted to BLANSRE CONSTRUCTION CO TA -1% construct the building or addition as described above. This permit is granted upon the express condition that the peion 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. CLARENCE BELISLE NOTICE: 'Ibis permit does not corer tits construction, Installation for wiring, plumbing, gas beating, Serer or water. Be sure to aSe the Building Inspector for Separate permits for them hens. Cid OF F RYDLEY-, MINNUESOTTA OWNER'S NAM' 14 (/e 1 , iL� l l-Ite) lijJt.� LER_ePle 5Af (e o� ADDRESS ` � l%�Y -- _ ADDRESS�5�''�° AP is i A4., vti LOCATION OF BUILDING 110. STREET PART OF LOT LOT BLOCK_ ADDITION OR SUBDIVISION CORNER LOT)( INSIDE LOT SETRACY. SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location draurn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: lam. /Irl /C k oi Front Depth / Height ly Sq. Ft. L 2 Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction r Estimated Costs 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). r . r= City of Fridle 4T THE TOP OF TN[ TWIN[ r L-------CONMVNITT DEV[ NT DIV, 1 PROT[CTIV[ 09ftCT 09PT, CCTV HALL iNIOL9V 0602 s 53-8b-%879.01 iVDoECT PLUMBING PERMIT APPLICATION 661 N. E. 58th Ave. ner Address Phone H. W. Arnold Contractor Address Phone MINIEGASCO 733 MARQUETTE AVENUE Kind of Building Use AAPLS, MINN. FrameRes. Completion Date Estimated t 3-17-75 10 00 B�SvcI t ']SIN i I 'BtlOI •MNlva m 8NI8VB t� H]lY] 10 w sN1Yac o 3 a ZM o I eaaMOHs Ob '1N(10ijI NNING I� (� SArllll 8NNISI Nlv6 invN#vn VUVIA 0 0 w 1 1 1 I• 1 7-i0- 7S` Plumbing Fixture Rates: NO. RATE TOTAL I� i! Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 i Catch Bastn x $3.25 i Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 I Elec. Water Heater x $2.00 Gas Fitting Fees; 1st 3 Fixtures x .00 Additional Fixtur x .75 Gas Range -199,000 BTU 1 x $5.00 5.00 Repairs & Alterations See Description; Code State Surcharge Class 7A7 Surcharge .500 .50 TOTAL FEE $ 5.50 !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all'the facts and representations stated in this appLtratipn are true nd rrect. 47�� B ignature MINNWASUO Date 53-84-s-915.51 MYNNV,GAS(-O' CH -1 Of fscric"10Y �' tan fQ7 PI•- -. -� �....., . �,��.'.1C-'"it' a, u iii �:� � ��.:'a E r�sa,� ��._358.�1t Dept. of Bldgx. Phone M-3450 DESCRIPTION OF V1011r, 661 N. E, 58th Ave. Nuinb�ar, F..ind and LocrSion of Fixtures M • � gy ` Number Fixtures ................ i�Izt N 's ► o x $1.50 N 8�fuz � o� <� j p• 2z 4 � N wATf� NTS. GAS tl[G Es=r New Ground Run Old Bldg. x $3.25 $ Eleetrie Water Hsatar.............. z $2.00 II 1 ZAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ........ o ... • . • • • • x $2.00 $ Additional Fixtures .............. x $ .75 $ Gas R=Ze to 199.000 BTU ........... 1st $ Ir sta 11 a Gr ill 3:d {;h rut=* Coa :oci.cn O-;4 it ,s i Xaa Tl=ture, Old Ogoninrp w,,..w.w x.... 0 Cc:spool C] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ ter.. x $2.00 $ Future Fixture Opening ......... x $1.50 $ _. New Fixture Old Opening.......... x $1.50 Catch Basin. o .............. o..o x $3.25 $ Water Beater 'Up to 99.000 BTU) - • • • x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Eleetrie Water Hsatar.............. z $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ........ o ... • . • • • • x $2.00 $ Additional Fixtures .............. x $ .75 $ Gas R=Ze to 199.000 BTU ........... x $5.00 $ City of Fridley: The undersigned hereby rrakes application for a permit for the Rork herei specified, arrecins to. do all work in strict accordance with the City C:diranee and ruling of the Department of Build.'ngs, and hereby declares that all the fad and representations stated- in this appl:ca:ion are true and correct Fridley, VJnn 8-20-75 19— Owner Harvey 1 . Arnold Kind of Building Frame Used as Res. To be completed about 8-27-75 Estimated Cast, $ 10.00 Old-- Building Permit No. Parait No. ce Signed By MINNEGASCQ _. Business Phune 1`io ROUGH FINAL L�'-7- P.EPAIRS & ALTERATIONS--R.for to Code .50 State Surcharge Descziptlozs ...Instill •Gas .Grill 0.. 0 ........... $ 5.00 mrAL FEE5.5®ta, StiRcharge �'0¢ _�--- - --- fir— -'-'--- 97-8b -1.16051 PPI.IC,,TLON FOR PLIJI'IDING AND GAS FI TTII'1G I:Ic'-IIT ' J'v�'L'G �t I C I I I RATE M tt 33.00 futudu r:AW16 01,aning n X2,0® Lee I•IatOLe, Old Oper.[:., u ..1 L 32,00 Cil h lraeln Y 9 $5.00 Nr Ler tla.tLer . L® 9y, 000 6171$5.00 Li 1u0,000 blU to 15 04 BTU x $10.00 WAIit' s..tLenar ti c I ., c ,, c ;' , u �• I s u1 upps ,� El ac Lllu Nates 114A LAC L7 3 a .. _. :.. iJ T.I 4 3 35.00 �S I IIIII;G FEES; C lel 1 tlnlura9 -, —17 I . 53,00 A1.111lun:I llgLurea - $1.00 a•r2- 'it .ri,•Ia to'1$9,00u blu 111 Id,t It .Cee W) 9,;LIOr, G,enIf — f J C:.:t,eeCed wlth Sewtr B) m licb t rotate, Old opknlr..7 Nater f'� RMIL �trtjC J'v�'L'G �t Lll?IN I trl, f 1 11 LIItL kATES rao • RATE tdu.l,r,l IIALr,149 tt 33.00 futudu r:AW16 01,aning :a X2,0® Lee I•IatOLe, Old Oper.[:., x 32,00 Cil h lraeln 9 $5.00 Nr Ler tla.tLer . L® 9y, 000 6171$5.00 1u0,000 blU to 15 04 BTU x $10.00 WAIit' s..tLenar x $7.00 Ilew GLurindl R.tn Old but-1,11r.]� g,00 El ac Lllu Nates 114A LAC ® $ 35.00 �S I IIIII;G FEES; lel 1 tlnlura9 x 53,00 A1.111lun:I llgLurea x $1.00 a•r2- 'it .ri,•Ia to'1$9,00u blu x $10,00 1:1',111, 4 A1.iEHAT1ON5 glou.ou e� h o.t.l, gIJ0.u0 or frac Lion SLALa 5urchargc TOrr,L LGL 5 WaLer Ilea ter lac TOTAL, $5.00 $ 52.00 $ S ®_ $ 8.00 a Job Address 661 — 58 Ave, NE Department of bILlJir,a City of F'ridl,,y ` Tei. 11571-3.150 The-llndQCslgnad I:::rehy ¢dkea appllcet:cr. f;,c z •-ec�e11 t.:r [P.� e+otk I,erclr, apraolfied egrettng [o da'all work in strict c.ccr:Scca iLt. [Li City CLeura and rulings of the Del:arlrrent of Buidings, erct� .ie lard [Let All kho facCir aid r�ldruv�r;[atlon9 s[atud Lr. thlti �t, ..icatscn dro truo and c,,i c x Fr:.iluy, r:n. 3-3-80 ®, 1a 01•INCR Arnold KIND OF BUILLIIIG frame _ USED AS res. TO BE COMPLETED LLJUr 3-10-30 ESTIMTL''D COS,r ho.00 OLD - IICII BUILDIH,u Pi let•1I1' tIJ, '� Campany a*.-" Si,tted By MINNEG,•. fin Tel. 110. ROUGH IIISP, Da to FINN, IIISP, �� ter/ Dat APPRUVAL i'OR PEIiFId'r 100 MIIII11UF1 113; FGq IJIY PLUKuINu PCIu;IP IS ¢7.51 PLUS $.50 �I1.TY 6UhCluhre CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7,00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $� Effective Date May 1. 1988 Job Address 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 accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this ap cation are true and correct Ivr }} Fridley, Mn. t 19 OWNER -A .v — , ) J KIND OF USED AS TO BE CC ESTIMATE OLD - NEW BUILDING PERMIT NO. PERMIT NO. / Q� Company 1 4 r hi Pi Signed By Tel. No. 7 — v,-Lws? ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE ed -4 xi a water m o a w Heater M N G ..[i �N k ,st C C 3 M g 6 U W -°� U M O ro m m u1 -.[i tn ro 3 H o o a x 8 .�i m ro .0 y m 0 y m 0�1 y m w u m 4 3 8 O as lec FL -4 Qp -T-r 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (�) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7,00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $� Effective Date May 1. 1988 Job Address 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 accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this ap cation are true and correct Ivr }} Fridley, Mn. t 19 OWNER -A .v — , ) J KIND OF USED AS TO BE CC ESTIMATE OLD - NEW BUILDING PERMIT NO. PERMIT NO. / Q� Company 1 4 r hi Pi Signed By Tel. No. 7 — v,-Lws? ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE sueJEcr PE T NO. City of Fridley � 19 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. L'�_____ COMMUNITY DEVELOPMENT DIV. p r PROTECTIVE INSPECTION SEC. IL� �.....I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L .__.612-571-3450 910-F15 5/4/89 JOB ADDRESS 661 - 58th Avenue N.E. 1 LEGAL LOT NO. BLOCK 4 TRACTOR ADDITION SEE ATTACHED Donnay 1s Lakeview Manor DESCR. 16 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Hervey W. Arnold 661 - 58th Avenue N.E. 571-6945 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 ❑ NEW ❑ ADDITION ❑ ALTERATION .0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside D . welling and add veneer front 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 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 $2,000 $1.00 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- $45.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $46.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY ALIDATEO THIS IS YOUR PERMIT BLDG )NSP D TE SiGNATURE OF OWNEROF OWNER BUILDERi (DATE) ] 0 Effective 5/1/88 R-1 AND R-2 �.ilA�wr� Oesnwi� Srsl i��i�n & c Constriction Address: Legal Description: _ owner Name & Address: Contractor: T131. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. L1Vn G AREA: Length Width Height Sq. Ft. GAME AREA: Length Width Height Sq. Ft. DECK AREA: Lent th Width Hgt/Ground Sq. Ft. o►i Si Corner Lot Pq Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: � I 4 Estimated Cost: $ D D0 Approx. CXm►pletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 3 APPLICANT: CITY USE COY Permit Fee $ �S 06 State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPUTATIC NS : Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering *'} Necessary [ ] Not Necessary [ ] SUBJECT PER City of Fridley o 20080 AT THE TOP OF THE TWINS BUILDING PERMIT _ r � • ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/23/89 JOB ADDRESS 661 - 58th. Avenue N.E, I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 4 Donnay � s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE H.W. Arnold 661 - 58th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton Johnson Co. 2513 Central Avenue, Mpls., MN 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION I7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling - Tear Off 9 CHANGE OF USE FROM TO STIPULATIONS and replacement roofs, On all new roofs or tear-offs that 2 layers of 15 Ib. felt, State Code requires to a lnof2other hes mopped together, from exterior wall linelieor the useed up underlayment membrane. approved 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 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 $1/ 550a $.75 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 $40.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VA WATED THIS IS YOURPERMIT tt)b C� SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI BLDG WSP f1ATE NEW [ ] Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER Building Permit Application Construction Address:(n�' �f riC ,�. Legal Description: Owner Name & Address:. G✓ . �qr.�e, (--/� TIP -1. Contractor:/ G i o �a _TJH.v_sc�,c 1 L'G; Te Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D CRX13?T1 21 OF II1l; ik 7VJ24M LZM G AM: Length Width Height Sq. Ft. MMAGE AM: Length _ Width Height Sq. Ft. DDCR AREA: length Width Hgt/Gro u d Sq. Ft. Off• Sd Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 7YPe of Construction: �i��'�c�r' ��,, 6 Estimated Cost: $. *�U Approx. Cmpletion Date: S �� , i y� y / SO O Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: 7G4"L ,yam° Tel. Permit Fee $ State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ Z�0►rAI, $ �UTATICNS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Nary [ ] Not Necessary [ ] l SUBJECT PE14M City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i? RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r 1 ~ i PROTECTIVE INSPECTION SEC. -3&7j 7J / / 1 � 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 %.j 612-571-3450 910-F15 6/27/90 JOB ADDRESS 661 - 58th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 2 Donnay's Lakeview Manor SHEET 2 P ��PE, (� �Y OWNER MAIL ADDRESS ZIP PHONE Vr Arnold 661 - 58th Avenue N.E. 571-6945 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 C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24.E x 1V 'Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan WARDING Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 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 $3F000 $1.50 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 55.50 NATURE OF CONTRACTOR OR UTHORIZED AGENT (DATE) WHEN PROPE LYFATD HS IS YOUR PERMIT 4 001, 'B INSP DATE S,GNATU OF OWNER OF OWNER BUILIDATEi l NEW [ J Effective 1/1/90 ADEN [ J R-1 AND R-2 ALTER [ ] Building Permits Application Construction [�� I&/'P4-47 Y J1111-� 01 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DE CN OF A0 � p t^ it ��77 i1 LIVIM AREA: Length ��t Width �� Height Sq. Ft. d67® GARAGE AMM: Length Width Height Sq. Ft. DECK AREA: Length Width Hqt/Ground Sq. Ft. 07HER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: W6 o � 1 Approx. Cmpletion Date: d l5 24Z- SYql LP yd dk Estimated Cost: $ Proposed Driveway Width If New Opening Is Desired: I Ft. $ $ �° Width + 6' See Back Page q DATE: to - 9 7' dfe APPLICANT: c Tel . # CITY USE ONLY Permit Fee $ State Surcharge $ , SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ � B _ STIPULATIONS: Fee Schedule on Reverse Side $.5042L,Do Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] poo 4CL JW ylet i .e✓ , a _ � :........ .. ,��'. ,..- a CeM0/if 17'JdN° �t .............. C 4 .. .. a a� ................ c; b X: 71 Ir IrCLMA-1 CD o lr r �r-,{►-'1,7}/. `Ly6`�onL+ X.P {"i1IF+•9Fi / ++.fs''j ��. (t Fl�;F Fi��u�lis.'. 5l a r fir..... t� (�� tx/ ...., ..f i ::�n... mt .... 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I i ,1, 1 Al e13i�� 3 t ti a aa)a T t bl r 1 t M '!a` FF-.,ae'�"r �' �� '. I i , � r 9 � r t 4k t a ry r b V �'M�- °I u r l •1*' b ��f I rd �a.174 * 1 : �}`� � e r r r r I, r a ,+. � i i I',at't i t r I h✓ a s .�" w. s'� >� 1. ->- 1 4r S `fir �.�•c J.1n i 1 } ; �, I 'if "�.4a 1 y Ya i �':a,.�ejyyh• F r s�a�+.i� i; r,�•'ti�..'�rir'7,..r,�J1 ev.,^t' x�,n.,�., �f N, d*' t"i��.'J��{i�� y"'��j4'µ�.d�h�>'� V� ��r 1,y, h j a4 r h�' �,�:'�...Y �..rla ,uf':�.r ��7 �c� r�F4 lr� � 4, .ri �i,. ;-r �r1 aMt,..i1n,Nd�i r,; 5;�;�� .�,rt e� .r `;��, , � fir., l.','. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 1 JOB ADDRESS CI. 3 Vh ' 11 ` RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate. TOTAL C# $ 20.00 $ ' $ 10.00 $ $ 10.00 $ $ 10.00 $ *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ %C} 5 10 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 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. 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this irpli ation are true and correct. 2 ,1991 OWNER C�, n1 c1 114 BUILDING USED AS ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating UrAfts_ Circle One (Steam)(Hot Watei (Warm Air) Trade Name Size No. -7, 7- vfl BTU d HP EDR Fuel i-) c; �- Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY 4120 - 85TH AVENUE N. Signed By RRMKLYN PARK,-] iOW A*J �a PH®NE 424®3333 Approved By Rough -In Date Final Date y` FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( 1 2. Is free from rustr de ri ratio Yes ( ) No ( ) 3. Has no foreign o�j e is 11 g .thin Yes ( ) No ( ) 4. Is securel uppo ed WX Yes ( ) No ( ) 5. Meets all cu renC de equirements for size and tot BTU's conhected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT City of Fridley 8=2 572- 9(fkHETWINS r? BUILDING PERMIT ^/ (//j COMMUNITY DEVELOPMENT DIV. ` INSPECTION SEC. f PROTECTIVE 1 NUMBER REV DATE GE OF APPROVED BY i �•� CITY HALL FRIDLEY 55432 --_-�,��"' L 612-571-3450 910415 10/14/987; � JOB ADDRESS 661 58th Avenue NE T LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 4 Donna 1 s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE H. Arnold 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Home Prod. Inc. 3770 W Broadway Robbinsdale 5 422 521-9211 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 2a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (26 sq) 2nd layer 8 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE REOUIRED 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 1673 .84 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 $54.00 Y Fire C $1.67 � t PLAN CHECK FEE TOTA E XR Licen 5. .51 SIGNATURE OF CONTRACTOR OR AUYHORItED A ENT IOATEI ENOPE ALIDAT THIS IS Y URI PERMIT S-GNATURE OF OWNER IIF OWNER BUILDERI IDATEi BL INSP T1 TE NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Ave— All Legal Description: nn Owner Name & Address: �� 1t R Aj ® Tel. # Contractor: 1 6-09 V0+ ,i [-ro M e f6 -u D ,v MN LICENSE # 3 3 ?� Address: `2 `7 Q O L L R "A -D w A-7 Tel. # 5_a /—fdL 11 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: !4'*.� �' - 0 ^g -- Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: CC' 1 Y-1f<y APPLICANT: Estimated Cost: (Fee Schedule on Back) Ft x $ = $ Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ CQ $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 [ ] TOTAL STIPULATIONS: Ca 1- Qqs 3 CITY OF FRIDLEY BUILDING INSPECTION M 9 3431 University Ave NE 9=ridley, MN 55432 L 763-5723604 FAX 763-571-1287 9 D n )TATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ 3� - W $10.00 $ JOB ADDRESS U L � S�5ko e �3L- Owner �' Nf_f16 .` d Building Used As l�i��c\e,-1C -<-- ESTIMATED COST k C ' � PERMIT NO Gas Range $10.00 M- $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water (Warm Air Trade Namer r er S �" MXRCT->-i(4 Size No. *Air Conditioning -All Sizes $25.00 $ o`ZS ,CXR BTU a0c) HP EDR Cur r � ,e r 3x o`t kz - -or\ Fuel Total Connected Load All Other Repairs or Alterations (List on Back) r 1% of Value of Appliance or Work $ Burner Trade Name Size No. A Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater on work less than $300.00 i The undersigned hereby makes application for a permit for the work herein :3 CommercialJlndustrial/institutional specified agreeing to do all work in strict aocordence with the City Codes r 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/industriaVirislitutionai and reprp4entations stated in this application are true and correct. CENTERPOINT ENERGY Y State Surcharge $__j50 HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 1 TOTAL FEE $ Coo•S� Signed Tel # 763-757-6202 v REINSPECTION FEE $50.00/HOUR _ FAX # 763-757-6701 Date V *Air Conditioners can not be placed in side yard without written approval N from adjoining property owner - copy to City C N df FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough4n Date Final Date CW' d-Itllul FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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 plastic/PVC and meets all current codes and manufacturer Yes No( ) specifications including sizing, length, number of elbows and termination. (y) The undersigned also verifies that the replacement unit 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( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ()o No ( ) When required to install a new combustion amt 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 -LAMA Category I Central Furnace Yes ( No ( ) Venting Tables for fan assisted and natural draft appliances. 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 {) No( } Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 TypeBTU Input 10,0010 Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height 5 a Diameter �inches Appliance #1 Vent Connector Height ft Length ft Diameter, in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 - Signed By:Date FR/FA ' A T OV ,qg AS , 01 K91G 1 NA A0 A110 WnN-1 q?: T T ta00z—LZ—NcH Building PLUMBING Permit No. 'Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DateRw d:�-( DATE 0 YOUR E4 AIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ARNOLD,HARVEY OWNER 661 58TH AVENUE NORTHEAST PROPERTY NAME: FRIDLEY, MN 55432 OWNER/ ADDRESS: (763) 571-2152 STATE ZIP T NA 4T PHONE:- CONTRACTOR HONE:CONTRACTOR NAMIs jj((1RRi (� PI 1 II�ARII�r r*n SUBMIT A COPY OF STATE7-4033 EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WTTH PHONE pi • APPLICATION PERAW .TYPE XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW XREPLACEhi DETAILED DESCRIPTION OF WORK re p, 2 C e- L1l a+2v h -eA la/ PER MS 16B.665 the permit flee 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 ) Labor cost under $300 = $1.5.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PERPDCIf M EXCEPT WHERENOTED. FDMJRES: ONDICATE TOTAL NUMBER OF EACH BELOW) —BATH SINK/LAV FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB _ GAS PIPING (AZEa=MCUM) _ SWIMMING POOL —WATER SOFTNER (535) CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _BACKFLOW PREY. ($157 —DISHWASHER _ LAUNDRY TRAY tWATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Permit Fee. $ Number of fixtures Q $10.00 x $10.00 = $ Surcharge .50 Number of fixtures Qa $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures ® $35.001 x $35.00 = $ SY - State Surcharge = $ .50 Total = $ 35.S'D 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 fora ppmit and work is not to start without a permit; that the work. will be in accordance with the approved plan in the can of all c rei review and approval of plans. '` I rd /� SIGNATURE OF APPLICANT PRINT NAMEO �,` lp� K Ill ` U Y t DATE 6 YORNERgi Q 1! RIM City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604