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PRE 2010 DOCS• Village of Fridley, Minn. BUILDING PERMIT Date: C yg.. fQ .. ��... d Owner Address ...73:........ ........ r 1869 Builder.............................................. Address............................................. LOCA TION OF BUILDING No.��.��.. Street .... ck......... ........ P f Lot ............................. Lot ........... Block ............fid.... Addition or Sub -Division.... s ................... 1 y Corner Lot ........... Inside Lot .... Setbac �. i0 P�'�jtl'.�ideyard .........�J .................. DESCRIPTION OF BUILDING To be Used as: Front ..�. .. Depth . r -4h.0. Height .... Sq. Ft. Cu. Ft. ........ ........... V......... Front ........ 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 village of Fridley. �....��rLA....�,.. ............ In consideration of the payment of a fee of $: fir c .0.0.., permit is hereby granted to & ...�. the express condition that the person to whom it is anted and his / ......................... to construct the building or addition as described above. This permit is granted upon � gr 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 locati , construction,,,"ldlteration, 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 I 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. City of Fridley SUBJECT P 15.6.6 AT THE TOP OF THE TWINS BUILDING P E R M I' r • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = � 1 A CITY HALL FRIDLEY 55432 %J 612-571-3450 ECEIPT NO / NUMBER 910-F15 REV. DATEPAGE 14/14/807 OF APPROVED BY JOB ADDRESS 728 - 58th Avenue N.E. 1 LEGAL DESCR. LOT NO. 3 BLOCK 6 TRACT OR ADDITION SEE ATTACHED DonnayIs Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Linder 728 - 58th Avenue N.E. 571-7403 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 jl ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install aluminum trim and gutter's 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATI0,4 FOR RESIDENTIAL BUILDING PERMITS (Nett, Alterations, Additions, or Repairs) OWNER: c H jv b 0 P__ ADDRESS: �'Z - �AV TEL NO. 4- STRUM T NO: LOT: BUILDER: i i o 'j l� . �� /y Al s � ADDRESS: CL..Aa-_�L )16 TEL 110: :2 ZZ Z Ss`/ X Constrrjuction Location) STREET:y� 0 4e A ( N5 /CJ BLOCK ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction : �jj aiTet- i d x %e rc's Zb Be Completed.: Proposed. Driveway Width If New Opening Is Desired: Estimated Cost: $ 1� 0 B' 6. Alt. A Alt. B SEE REVERSE SIDE OF SHEET 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 cn DATE: � — / 4 " 0 SIGNIVrum ._A4Q �. ") - Stipulations: C> DIRECTORATE OF 1 o °a o'o o, PUBLIC WORKS -- CITYOF fWDLEY MEMORANDUM MW TO: Nasim Qureshi, City Manager MEMO FROM: John Florajublic Works Director SUBJECT: SrPJM LIGHTS - 58th AVENUE DATE & CODES: 10/7/85 PW 65-316 We have received a petition for another -street light to be located on 58th Avenue between Quincy and Jackson Streets. The location identified is between 728 and 742 - 58th Avenue. This light, which would be a little over 200 feet from the existing street lights, is not consistent with the City's street light policy. We could either pursue an -agreement with the adjoining property owners to have then pay for a street light similar to the Brigadoon area or the Council could designate the placement of a light and appropriate rationale, if they so desire. Please indicate how we should proceed with this item. JG?: jmo Enclosure From the desk of NASIM OURESHI MEMORANDUM JF -324 CITY MANAGER'S OFFICE DATE: August 12, 1986 TO ACTION UPDATE SUBJECT: Petition for Street Light on 728 58th Avenue - Steve Linder Action Request Councilman Goodspeed John Fl -ora, PWD /15/86 The City received a petition on September 24, 1985 in request for a street light from Steve Linder. Would the request for the light be put between 711 or 721 58th Avenue, or 728 or 742 58th Avenue. Recently there has been some kind of undesirable activity and Mr. Linder has again contacted Councilman Goodspeed. Please review the material again according to city policy and provide information by Friday, August 15, 1986 to Councilman Goodspeed. Thank you, NMQ/la cc: Jim Hill TO: Nasim Qureshi FRCIi: John G. Flora rz DATED: August 15, 1986 I have resurrected the file for the street light on 58th Avenue which was submitted in September,1985. The most appropriate place for a light if one was to be installed would be between 728 and 742 -- 58th Avenue. There is a curve in the road at this point and it could be considered applicable to the City Council's policy to install lights at intersections Jmid- block of 1,300 feet and at curves and hills. Since this light is only a little over 200 feet from the existing street light, it could also be considered appropriate for the property owners to enter into an agreement to have the light installed and NSP or the City bill then as we have done in the Blomberg areas. Plase let me know which course, if any, we should pursue. JGF/ts Attachments tn e-:er :4-. 19t5 If the street light is to be installed between the homes located at 711 ;fit%' ar,d ;G1-s.th Avenue Northeast we give our permission as property owner- for trees to to trimmed as necessary for the lines to be run for the 71- -tr: „venae .,orLheast j - L . Av E ylOr rrCdst sure: li-ht is to be installed between the ho -e: locate- a:c. AVE -nue northeast we five our perni se! or. as proac-r: Y overt r. cr tree- to r_�...ed as necessary for the lines to c*• rut. for the Avenue Nortnea_. ...tee- --, east .'.C':!1(:Er_:r'.'��.�i re,uent a street light tre instal lea at eit�.Er 1•'Cc^.t:0.'. COS: to th homeowners: 01-5-tr. ;%ve.^.'.1E 710-,~t., Avenue !,oTtr.eas: J 711-5L:h Avenue 1;orthea-. _aAf .0 721-5_te. Aver, -.;e 72'-5- Averic- ?31-5-t!% /%ve :::e 1;ort�:e� 741-5=:h Aver..e ::or theact �;; 742-5:th Avenue bortheast �. 8��®PAS Yt ,� � p•� 0 rn rn 14; 41 z� 1� � J • I `i`I so LQ dop 00Di,4 ocr io �'- Novi -`� .r ,. / � .,ems . � • ♦ N M � , .� r• :41 N ' .irk _ r. � �..=•-r- qb �N 'k, t, .., ' 1 impr Al i •d� — o N : X i �r' 0 LLS If1 N .O p $ NQ ♦.o ti '1.a �� O• • r► N �� \ • f ,_ • sY/ Ii Jw W^ a n " P' 4* wg%:. '1S _ I f1 OAM 0 AV AP r n, n aio �� • gal l a Allz 414V CL _ .:.��" root �� ®•r sII .r pXsti NIn ore.: tj 16A —w1w N ' As 308 NOMI .o 1 ms`s all irr Peee �. a r O fill, '44J N s1i - /r/ I i 3'N IS N061004 r n � ".i�v h 00 -; - N0Sa3JJ3 • far. n W o . > )t7 op Ai v 7 SUBJECT P City of Fridley o 18935 AT THE TOP OF THE TWINS BUILDING PERMIT RECE ` COMMUNITY DEVELOPMENT DIV. y------ r � PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY i /'•'1,j CITY HALL FRIDLEY 55432 ••-.� 1 612-571-3450 910-F15 5/11/87 JOB ADDRESS 728 - 58th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 6 Donnayr5 Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven/Kathleen Linder 728 - 58th Avenue N.E. 572-9348 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 121 Addition 9 CHANGE OF USE FROM TO STIPULATIONS Install products of combustion fixe alarms; one in basement or in hall by bedrooms. Submit beam size in ceiling between existing and new addition. pffiffi '"tb 'lities PERMITS R� F0Tt local uti SEPA�ATI= h �eiore dig call WIRING, HEATING4 PLUMONG AND S.I"GM iEi.EPHONE-ELECYRIC•GASEtc• By LAW, I EC�UIRED 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 144 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 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 $4.23 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,450 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. $74.50 PLAN CHECK FEE TOTALFEE $18.63 97.36 SIGNATUR ACTOR OR THORIZED AGENT (DATE) H�RLATED THISIS YOUR PERMIT rA�, 5 i! g _ YNATURE DAT OF OW ER IIF OW R UILDERI IDA EIBLD 7 NEW [ ] City of Fridley Effective 4/1/86 ADDN. R-1 AND R-2 ALTER. ] Building Permit Application Construction Address: 7-2 D 59 �h AVe, Alf Legal Description: naV `5 0k view Mang &d � �f-a Alk' b6nm ys Owner Name & Address : a V o and �C'a Aleen Llndr f^� 5D 7419de- Tel. # f7 Contractor: e- Tel. # Address: 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 /G ft Width 120 Height _ �f Sq. Ft. �� u GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 4 Corner Lot [ ] nside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Roeifyl /_G(ddj6n Estimated Cost: $ 7 • oO Approx. Completion Date: (1( (4 s -1 4? L10 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL APPLICANT: - Tel. #5_70-73(R CITY USE ONLY _ '" $ Fee Schedule on Reverse Side At^. e q. $25% of Building Permit Fee �" F $_ $.50/$1,000 Valuation f� $ $ 525 per SAC Unit $ Fee Determined by Engineering $ $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: n(� 0" A-% C? 7 &'Q,A- a' ` w+ a I ►_= A. LL Ma 29 I CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS S RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and �Fumace Shell and Duct Work, Burner -rulings 30.OD of the Building Division, and hereby declares that all the facts and Also Replacement Fumace ' $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) 7 / ,1998 Gas Piping (Needed with new furnace) $10.00 $ � Gas Range $10.00 $ OWNER /�V4&1� �lry 61 =' BUILDING USED AS �� i Z7U � �!�� A-" 7 Gas Dryer $10.00 $ � PERMIT NO, / � % ESTIMATED COST ,�'�Air Conditioning -All Sizes $ 25.00 $ 5 .UV _300C) All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating)pn'its Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU �� ppm HP EDR $ Fuel Total Connected Load $ .50 $ ,s: 5• 5 o MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Bumer Trade Name BTU HEATIN±COY Signed Approved By IF Size No. EDR Sharp Heating and Air Conditioning lumbia Heights, MN Teli ; 572.0459 -in Date Final Date (/ *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHmMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported . Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT P City of Fridley 7 7 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. DEVELOPMENT DIV. ` v -------COMMUNITY r PROTECTIVE INSPECTION SEC. 0 _ �lL I I � _� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1 J` 612-571-3450 910-F15 9/15/98 JOB ADDRESS 728 58th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 6 1 Donna 1 s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve & Kathy Linder 572-9348 3 CONTRACTOR MAIL ADDRESS Minneapolis ZIP PHONE LICENSE NO Tabor & Sons Roofing Inc 1805 Polk St NE789-1902 20014748 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 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house & garage (23SQ) Tear-off 9 CHANGE OF USE FROM 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 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 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 $ 1971.00 $' 98 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 TOTAL EE �� f 15, Licen SC $5 0 $70.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENROP VALIDAT 134 I$ PE MIT BL INS DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:0643 — 2 X �ij� Legal Description: Owner Name & Address: Contract Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: `?_ DESCRIPTION OF E%IPROVEMENT ENSE# ;�G�/�/�%� Tel. # Zx a1-/-gd--k Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type- , ;_ �, , �ated Cost: $ (Fee Schedule on Back) ` Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /,� —2 APPLICANT: ^,, Z Y— - Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] MAY -26-2006 11:49 AM STANDARD WATER CONTROL 763 537 1882 !t'3U1ilEAng %7TOTALMYAHLAMN.Ljq��OCCUPANCY rumttw,: x- inspwinrs S S a EESID 114'II'IAL "PLICATION ATION RmlYe1 icy: 763-572-3604 65% of Building Permit Fee CI717Y OF FRIDLEY UWARecd: ' .(DOI times the t=l job Wan ion S� StrF. alaGReSs - THIS APPLICANT IS: Q OWNl31t WINTRACTOR PROPERTY OWNER/ SAC Charge$ TUNANT SRM, Gajln ie't� Curb Cut 131=w PI4}N7r: - . / f ...... P CONTRACTOR NAME; SUBMIT A COPY OF 8'1'Nm LICBNSE II_,,, �,� EX? VAI'C YOUR STATH LICENSE ADDRW-- - ,d " UP /i% CITY,.. i��t�QITA1 WITH AMICKrION PItOfi118 'fig RAX /e. " ► r _-ice: FAMILY40WiRUC11 N i 3fJ�l:,, TWO FAMILY/AIBW CONST111H.1'1 NN �ti ilB� PROPERTY —M PBRM 'j" Q A10MON ITUARAUSEWD a WNCOM C1 BASEMENTFINISH 0 ROOF A DRAIN TILE 0 DKIK ra SOUING O (A-K6R t] 91NIMMINO FWL TYPE OF WORM I1I'PIO DMANTENAMI&SEPAIR ® RIIlY1ODM NCI DBfiICR1BB WORK H}3i1d0 dt7NI3: I { 1C U SIM OF IMPROVEMENT LI:N'i�'I`!�I 1 mrvr HEIGHT k. Ft. WoOlm 13 t1 USH 01 LL'Y NUhMER OF $QUAAH8 0 HOUS13 & OARAGE 11 PROP(XHD SIM; O NITA(M BO GARA08 L F'a 1uMg Fk& Fimt E31DITACHRDGALIUM 2. Pfoposed RefFltofur pim FROPOSM IrigtORT 3. I manh�lE t0 (� ttsad Q FOR NbW LXMTRUCnON IINC1d101NO DOM, 13 Vinyl t]Soillt AUDITION$, & PCMQJ S SI_18MM 17 Ahmlbn 19 Ttlm 1, Sko t+lsalguerey showing a+lidtina tl�uallQes 11 00mr Q Fmiu aw P-gK"d Iqwcm, MMKRMS 2. TWO sole of oomt Wdo Amu IN OOHNIWA xy" CINa LOCATION OF UV NI)OWN 3. Enagy Cdculeflu s ON FOR NEW OPEmCM80uBE SRC OT OPMOM C HANW R TYPE OF WNDOW TO 09. WTALLI3I}_ LSI NU 1",®t •0F WINQOWS .� �1 Alt ■ aer no •bier r.. c', w ...i—'�' u . i � ..S': .'+wv fYw �LYT�Yf w.. rn"W a iM ..) ---WYIL\V LJM %rVO ■ Vii` unm%m r►n" Mf%f VALF", �� (U91NO TIES 1907 UAC PEE SCHIDULE) '� %7TOTALMYAHLAMN.Ljq��OCCUPANCY TYPE _A Fee S S a One hack Page for Fav Scheduler Plan Review S '!$� 65% of Building Permit Fee Fire Sarrharge * 010 .(DOI times the t=l job Wan ion S� S !, .WOS x ftmit Valuation Minimum S.30 Ll+eotlre Sumhup Q U-00 (9tate Lkwerd 9e41dentiul C m) SAC Charge$ ,� $ ISS4 pe SAC Unit (Piem to MWCC for determination) Curb Cut 131=w $ ft + 6 a & ft x $21= $ Braelon COMM $450 Conservation Plan Review Ptak Pan SS �. lose Determined 4y Engineering Sam gp -._._. Main Cher_ S A Non N ces groetrletlt � O a s4rY ( ) TWO IS AN APPUC;ATON FORA PERMIT -NOT VALIDUNTIL PitOCESSED I hereby apply Por 4 bufldfng perm$ and I a taowled9te that the Information ahnvo is complete and arcclnr; that the wart wUl be in coffamuce with the ordlnenkros a><d Dodos of f Fridley and w insole Coutructlon Colles; fiat I unde mhmd this is vt a permit but only ttn 45 1 for a permit tor, to �Mw- a Permit; that the work will be un nowndmw With the n plan lit the ease of all It whi I iuw g, t f SIONATURS OF APZn tqA - -- 1 �1 AG Pot CA n nATR vel A %a'i) �e Id was. -Se 9M 9C -Rew 4BETTX91.: ON xud hatptij 40 RJ!3: WMW MAY -26-2006 11:49 AM STANDARD WATER CONTROL 753 537 1882 P.02 STANDARD WATER I L TO � I1� � 5337 Lakeland Avenue North • (:nlstal, Minnesota 55429 • www.standardwater,com MINNEAPOLIS ST. PAUL BURNSVILLE ST, CLOUD DULUTH ROCHESTER OUTSTATE FAX (163) 5374M (951)778-6581 (962)894.4107 (320)262.0766 (218)727.1495 (507)285-8549 (800)878-7887 (763)537-1882 Nindow System To Be installed For varve • 5 W—.- Gwnw attdror P -M .1bla 10r Y^ 4ddr®ss mo-- `'"'&` �ity Zip Home Phone () ,• c► Work Phon® Job Location Name — Address �. city Date 5AM or Home Phone { ) work Phone Zip Standard Water Control Systems, Inc. will furnish all later anid materials for work as specifled. Installation guaranteed to be as specified and completed In a workmanlike manner. In the event unforeseeable conditions require crew to V"Ork at fob alta later than antlolps f; ovin+er must allow work craw to continue working with no interruptlons until fob Is finished, •unhtsa di"Ise specified. Any subsequent service calls to resident for work or InlfpscUon will be done during normal business houts. M -F, Sam to Spm. owner is responalble for Instalintlon of smoke detector if required. SPECIFICATIONS -- DIAGRAM OF AREA TO 13E SERYICEC, Qi -11,, I i PAYMENT TERMS The owner Agrees to pay Contractor a sum els follows A. Price C.rr1a B. Other C. Prinoipal Balance �---- $'.t rCt D. Down Payment $ 6.c E. Unpaid Balance $ j r • � CUSTOMER Ivo." . c� Foundation Description and Thickness, Bloi * Dimensions and Existing Window(s) Opening (Size) REFER TO ATrACHED WORK SHEET(S) Header(s) Required INtERIOR Finishing Material Ae+L �� INTERIOR Obstructions EXTERIOR Finishing Materlel <• Z L%- 41 4 EXTERIOR Obstructions—<,)2.L4 A aP+--X- EXTSRIOR Grade and t.andscaping Description _ 25 ! , - Soli Type/Canditions To be Instailad and/or performed: PERMITS ARE INCLUDED ❑ GLASS BLOCK WINDOW(S) ( ) Pattern Q Wlth vents (_) Without Vents ( } ❑ EGRESS WINDOWS) ❑ Manufacturer and/or Type C"1-tr f'A-* e-14-P9AtPr`'1 1p Model and Site 45 -7-!9A � • Sb EGRESS WINDOW WELL(S) ( ) ❑ Manufacturer and/or Type ❑ Model and Size '�-- ❑ Window Well Drainage System .--- } Excavate and Remove Dirt and Other elated Debris Exterior Trim Around Window„ e-9�, cT-)4A b- - - ❑ Other ❑ Cash upon completion C3 To Be Financed ❑ Visa - Mastercard - American Express - Discover Card a}..a... All 46%,%mAnr, QA t4awe mr rrMit ram 0-.hPlY1A1M M110 hR nonroved 7 da3vs or more orlor to installation date. MAY -26-2006 11:50 AM STANDARD WATER CONTROL 763 537 1882 P.03 ,��qANNED STANDARD WAIMR eaN aL SYSTEMS,N 5337 Lakeland Avenue North, Crystal, Minnesota 55429 800-978-7867 763.537.4840 www_®tandardwatAr.enrn GLASS BLOCK OR EGRESS WINDOW INSTALLATION WORKSHEET Customer VV Y i !? ,r Customer Number C �' Date �/ c'sc' Job Address ZA. `�!.. 4/4 City ��'�.%�� & Zip, ?OPIIS Ntlifllr UMN T ®=11to OPINI►Nfi r �! i'L• ( If present ) �s Ag � Glass Block WindOIN(s) of Pattern -------...------------------- Egress Window(s) -4 of __L Manufacturerit; cel �'.� �z ________ Model#-=-� �l st -- Window Well(s) _ / of _ Type & size e,[�------ �' 00' Existing window oi:,ening? Yes _,. No Header Required? Yes%4 No)(_ Load Bearing Wall" Yes Y No Foundation Description Block Dim. H "' W _Z.Lo D Install Window Well Drain? Yes' No Draintile Available for Drain? Yesyl No 11061111 Notes: -------------------_--•-_------- - ----------------------------------...-------- Homeowners signature__ -_- sale Rep I OCopyright 1977-2Ki SWCSMQ1rtc. MAY -25-2006 02:41 PM STANDARD WATER CONTROL 763 537 1882 P.01 Construction Address: Z g�d -00&.�- Legal' Description: Owner Name & A dress `? j�1 Tel. 0 yed (� Contractor ' NIN LICENSE ifh_ � Address: t Tei, # .._ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DItSCRIPTION OF IMPROVEMENT LIVING AREA: Length. WWII) Height , Sq. Ft. GARAGE AREA: Length vificall Height Sq. Ft. DECK AREA: Length „ VMth Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: —Ft, * g Ft = DATE:4-APPUCAN4,, Call (763) 873-3604 for permit Fees if mailing in a call you for card number. CITY Permit l=ee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge \J TOTAL . . $ Tel. " Faux to 7634714287 if using credit card and we will ONLY - Fee Schedule on Reverse Side 1001 of Permit. Valuation (1/10th%) $.5O/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt "A" or Alt "B" Above $4450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary (} Not Necessary [ .j /' �R r-rom: uty or rnaiey 1 o: dbl4868532 Page: 2/3 Date: 11/20/200710:51:56 AM Building , BUILDING Permit No. 7 Inspections �I• RESIDENTIAL APPLICATION Received El Y. 763-572-3604 CITY OF FRIDLEY A 763-502-4977 FAX -a I DATE -1 - YOUR E-MAIL ADDRESS SITE ADDRESS f)e ' THIS APPLICANT IS: ❑ OWNERTOR ONTRAC 9NAME: PROPERTY OWNER/ 0 TENANT ADDRESS: J CITY STATF(ZIP�S PHONE:TO CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE..'-'3l7� YOUR STATE LICENSE EXP DATE AND CERTIFICATE OF ADDREs ' STATI ZIP15 ! 1� INSURANCE PHONELOS — At FAX PROPERTY TYPE INGLE FALY^ MI W ^N&RWtea•'^ N SIZE [] TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDowS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION INANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE. Y — S� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ mer ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS 'Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALL NUMBER OF WINDOWS ALL TEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ l , 00 _ OCCUPANCY SF TYPE L)Pft O Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ i5 $ •l�I $ 3. , $ 01) See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary $ D 3 Make checks vavable to: City of Fridlev THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED Attach 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 approved plan in the case of all work which requires review and approval of�pl—awO�ns. ^ A SIGNATURE OF APPLICANTS PRINT NAS Y C, DATE_ 1 o� -1� Building $ C . 2.5 BUILDING Permit No.: 0i °" Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date '' Q C T 0 2 20 763-50224977 FAX $ Erosion Control $ Park Fee EFFECTIVE 1.1.08 Sewer Main Charge $ DATE C�— I y YOUR IiMAILADDRESS SITE ADDRESS vI Z� l)`� f T �e.LA Zl THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY OWNER/ NAUE: ADDRESS TZ �- PaxCITY , STATEMn. 23P TENANT PHONE: • CONTRACTOR aPHP1F'8 SUBMIT A COPY OF FAX YOUR STATE LICENSE STATE LICENSE # 2:C_ -A 0 \1 Ll EXP DATE PROPERTY TYPE 0 SINGLE FAMILYINEW CONSTRUCTION SIZE 0 TWO FAMQ.YINEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION O GARAGEISIIED9VINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TII.E 0 DECK O SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW HOME CONSTRUCTION 0 ADDITION 0 MAINTENANCFJREPAIR 0 REMODELING DESCRIBE WORK BEING DONE: SIZE OF IM[PROVEIVIENT LENGTH WIDTH HEIGHT SQ FT ROOFING 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0 HOUSE & GARAGE 1. Existing Floor Plan GARAGES 0 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of stracdual members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING 0 Vinyl 0 Alum' mmn OSoffrt 0 Trim ADDITIONS_ 1. & PORCHES SUBMIT: Site Planftuvey showing the existing structures 0 Otter 0 Fascia and proposed lwject 2. Two sets of duction plans WINDOWS IN EXISTING OPENINGS *cs ONo LOfATION OF WINDOWS, 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OFQ Pte\ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED kJQQ= NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: UNG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ :�R(i(_ . — OCCUPANCY !�5C _- TYPE Permit Fee $ C . 2.5 Plan Review $ Fine Surcharge $ Surcharge $ O License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: City of Fridley Attac THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I wJmowledge that the infonnation above is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of Fridley and with the Minnesota Constnttnim Codes; that I understand this is not a perwit but only an application for a permit and work is not to start without a permit on site; that the work will be m accqrdmice with pft appproved plan in the cue of all work which requires review and approval of plans SIGNATURE OF APPLICANT An PRINT NAMEy�j jP ,—Pn QM,G� ATE 0 1q, log G\ � �:TSIT0 131-Y A DATE E Building MECHANICAL Permit No . Inspections RESIDENTIAL APPLICATION Received ByMIK 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE q ( pYOUR E- AIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: 2 -2 ADDRESS: 13 -d = ntr—f- Q CITY FrilewSTATE0&4P jgC OWNER/ TENANT PHONE: �l (D ' S(i - w--7 % V CONTRACTOR COMPANY NAME: Q co -r— L CONTACT PERSON:' Lee SUBMIT A COPY OF YOUR STATE STATE LICENSEE #(� EXP DATE LICENSE WITH ' , \ �^ ADDRESS: 6313-1I� ITY (�� STATEVUUZIP JS APPLICATION PHONE 71P3--Nq- Coo FAX JVIN GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE TYPE OF WORK: ❑ NEWPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK K A2 1 a C -Q— rYLot c e— FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUA��j0_06q AwS'H^-RAE HANDBOOK /� Equipment Installed MFG: MODEL: l7 9,5 o� SIZE/BTU S Csc� MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15IREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 URNACE $35.00 _GAS UNIT HTR $10.00 J�F _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 5. OU State Surcharge = $ .-W /, , ob (MINIMUM FEE $35.50 Total = $ V 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 f a e it and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all or h' h equires review and approval of plans. p ` SIGNATURE OF APPLICANT PRINT NAME LL C L1L �30 APPROVAL INSPECTORS SIGNATU DATE PLEASE NOTE: SOP TE 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 12