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PRE 2010 DOCS0 City of Fridley, Minn. BUILDING PERMIT N° 3363 Date: .........[. �.......................... Owner....................................... Builder ... .. .... Address ...................................... Address...............8/............................ LOCATION OF BUILDING No.. /.... /. . Street ... :......... ....... P Lot .. ....... •• • •. • .. d. •. • ••. • , Lot ....... .. Block .................. Addition o Sub -Division . ... . .... ... Corner Lot ............ Inside Lot ............ Setback ......... Sideyard ........................... DESCRIPTION OF BUILDING �1, To Used as • � Cu. F't. 0 ............ ....... Front ..7..�. Depth .� k(.Height .... Sq. F't7.`C7C .' C7 �/ gg ..... Zt .... t .. r .. Depth .. Height ... .... Sq. Ft. ..o?�'. !� Cu. Type of Construction ..... ,.r..... Bst. Costo.... ..... To be Completed . 2C ...... . �6116 A V- GI pxlav 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. ®� In consideration of the payment of a fee of $. e:� .....:., permit is hereby granted to .. ......................... to construct the b or addition as described above. This permit is n wilding P gran 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 of the provisions of said ordinances. .,• ` `uiiding 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. City of Fridley, Minn. BUILDING PERMIT • Date: _ May 22, 1968 • Owner: R.' M. Lyons Address _„__ 1..41 62nd Way N . E. x/.),/a"► X9 9757 s Builder Harris Construction Co. Address 4809 ValleyView Road LOCATION OF BUILDING No. 141 _ Street _ 62nd Way X. E. -- part of Lot Lot Block 2-- Addition or Sub -Division — Jul i -Ann Corner Lot — Inside Lot _ __ _. Setback --- Sideyard _ Sewer Elevation --- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Siding Front _ Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Aluminum Est. Cost T._ $1500..00 _ To be Completed _. 6/1/68 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 21 provisions of ordinanc:ea of the city of Fridley. In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Harris Conkt . Ca . to construct the building or addition as described above. This at is granted upon the express condition that the person to whom it is granted and his agents, employees an 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. J Clarence Belisle NOTICE This permit does not cover the construction, Installation for whine, plumbing, gas heating, sewer or water. Be son to see the Building Inspector for separate permits for these Mems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA MCk �1 OWNER,$ NAME R M Lyons �BUILDER Harris Cons coon C© - ADDRESS 141. 62nd Wap y_ 1DRESS Q9Val _YjVV LOCATION OF BUILDING ,. N0. IJ41STREET .62nd Way � - - _ ----77. LOT 3 _ BLOCK_ . 2 ADDITION OR SftDIVISION JuLi-Ann CORNER. LOT INSIDE L : �_ _. S ACK. SIDEYARD�, ' . "--�t;;,l 7 , •err „, '•','' , SEWER ELEVATION TOP OF FOdiftb " Applicant attach to this form Twolg0tifitc4tes of turvey of Lot slid proposed building location drawn on these Certificates: :•.j DESCRIPTION OF BUILDING To - Be Used" A•s s1 t Front �.' r Do CP Height__ Square feet Cubic'lbeb•• 7f, `t Front Depth -Height Square feet -Cubic Feet • Type of Construction. A-uminurl Siding_ Estimated Cost 11500. To Be Completed 6-1-68 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. e DATE- - - �5-9-68 _ SIGNATURE _i✓L� _ (Schedule of Fee Costs can be found on the Reverse Side). cIT r OF FRII)L- APPLICATION POR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ' PARTIAL RATE SCHEDULE GRAVITY WAX -1 AIR: RATE TOTAL Job _,x2�t Furnace Shell & Duct Work $12.00 $ 'Replacement of Furnace 7.00 $=-C . Repair3 & ::Iterations -up to $500.00 7.00 S Department of Buildings Fepa= s & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 DSECHANICAL S:ARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell &. Duet Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,003 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that'al; the *Prplace-meat o£ Furnace 7.00 $ facts and representations stated in this application are,true and correct. Repairs & Alterations=up to $500.00 7.00 $ Repairs & alterations each add. $500.00 4.00 $ .Fridl Y. Minn. 1 ' S �.'•1 GR ILL i :ITER S,,ST—T7%1: OWNER � Boiler & Lines un to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNE11- to 3 gal. per hour $10.00 $ -T_ &0 each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. Cover 1-99,99-3 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 $ AIR CONDITIONING $ FAN i: .•Y• 4 `'C��� k .. i •.. I.: e!Cr' fir ►tidowra Refera m Out. WDA Iat. Wad Cell• Roof Fiodir 19— F:.I Room Leoph Width HeiAt Fl. Room Le Window; aid Doom-�raek �d Arca aad i ow - *aekas ."4 Area windowswidth }' e!1 ft of 1- ft hts e! dwelt p. t. No. of Mae d 1 N . 1 Cod. Btu � F y��. WntioD infiltration 4, can . wall Fsp. wall i+1et a :p. WAD C.� ` Net esp. wall Y ` int. wall Ceiling _ l �f,, Ceiling ?. floor 5���.�1 ® Floor alai Btv. T Total &a. irtd W, ft. ED.R. or M• ins. WA. L,eaekr area Required sq. ft. E D.R or aq: ino. W -k Ladeir` atfia FLI Room i eDath Width t FLI Room I lead► = Irv," alai Dm" --C a -and Area WiDdom awl a l 1p►d ` Width els C A, t. ♦tea .. N' of ss td of arse\ .14. N Width eta o. 1 fM�► �. e of se et atd r R 14 l fttilftatisD lo5iltratioD Cila.. ttrdl asp. wall esp. wall Nae sP �flli :� . et►all Int. wall 6t� Ceiling Floor l Tot.l &M. Total u.lei :K. - eouired eq. ft. ED -R. or!S. ins. W.A. Leader Ares Regnirfd rp. ft. E.D.R. or W. ins. A. Lender arat4`" r Fi . Raotn Leytb Wldt Hit Ft Room l W lliQaows aDd --Clack at�d, Ares I . Wioadow� end,"W'UtIs .Doom• of u Am, Width M fe of w►• ht. n. Md. er of ti. Rat f Coif- ratioD _ 1e61hatioo � �r« . a Glaao { Exp. wal 1+1ee aifp. wi s t Net e=p. w%H Mt, wild IDL waq 4 fpgg . r • ; Cening floor • Floor r4ti!►i>a . TOWe 4* LOA E '� �.• 1 "F -: ( - I ._ . � p1 �, �i� `�:��`bk�{ ��, i"ifk•f � � aPl..' y `� .ate Yr drkar � �`i.jr :- }.4 r,: ' •• .�` G-'= R ;� x ,1S �+`�"aa°•1 4 1... a.-ermi� �._ wIlia, wa�G- °. w'.�`s��k6�"�-+�•- �*a...�-.—s+.mP��rmistiF..wai+r�-..dl�•+°� �, �`�� ^���' .�; { is ,. a .�.F ,y. .�7 .A.-�t� �0 ,.'• as�ry�„� 1�5 :• ry,Y - City of Fridley AT THE TOP OF THE TWINS SUBJECT B U I L D I N G P E R M I T PERMIT N _ 16--- r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i � CITY HALL FRIDLEY 55432 612-571-3450 ECEIPT NO. l ,NUMBER 910_F15 REV. DATE 4/18/83 PAGE OF APPROVED BY JOB ADDRESS 141 62nd Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 KIX Juli=Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel D. Vitzke 141 62nd Way N.E. 571-2960 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER ' MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 12 x 14 storage shed 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TYPE OF CONST. Wood OCCUPANCY GROUP OCCUPANCY LOAD 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 168 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 1 ' 000 550 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- l.7 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. -ug*- Sa PLAN CHECK FEE TOTALFEE !f SIG ATUREOFCONTRACTOR ORAUT OO�RIIIZ}Z®®EE�DAGGEEjNT� (DATE) * EN PROP RLY V BLDG INSP TED THIS S YOU��Rf�''p/ DATE SIGNATURE OF OW NERIIF OWNER BUILDE (DATE) 4ry 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATICH FOR RESIDENTIAL BUILDING PERMITS (New. Alterations, Additions, or Repairs) OWNER: —22i✓ eQ ADDRESS: TEL 110: BUILDER. ADDRESS: TEL NO: Construction Location • STPJ= NO: 141 STREET: of z{/i5�4 7j LOT: 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: Depth: � Heights A�A�Square Feet: ` Cubic Feet: ` Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: C"). 'r SIC( % Estimated Cost: $ L Tb Be Completed: - Alt. A Alt. B Proposed Drivettay Width If New Opening Is Desired: $ ' $ SEE REVERSE SIDE OF SHEET zine 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 De1kjrtmcnt of buildings, and hereby declares that all the facts and representations stated in this application ,true and corrgct. DATE: 3 SlGNATnME: Stipulati ns: k SUBJECT _ PE City of Fridley 17 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 I i 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/6/8 JOB ADDRESS 141 - 62nd Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Juli Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Vietzke 141 - 62nd Way N.E. 571-2960 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & D Builders Inc. 2355 Greenbrier Circle, St. Paul, MN 55117 484-5529 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 Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221 x 161 and a 91 x 5' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRE® FOR WIRING, HEATING, PLUMBING ASI® SIGNS. WAR �� Before digging TELEPHONE +�S - EECTRIC ��SErc. EtC. REQUIRED By LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 397 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $17,500 $8.75 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 PERFORM CE OF CONSTRUCTION. $125.50 None PLAN CHECK FEE TOTALFEE '� $32.13 $169.38 • ATUREOFCONTRACTOR ORAUTHORIZED AGENT )DATE) jN, a WHEN PROPERLY LI DATED THIS IS YOUR PERMIT BLDG INSP fiATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN.R-1 AND R-2 ALTER. ] Building Permit Application Construction Address: / --6J- W Legal Description: L n f 3 PL K -2- d N �, �'� , av Owner Name a Address: �4tti V 211 Tel. Contractor: �V- L �Q-e Tel. # Address: � Pew e r C r" -e- 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 'a2 Width Height �J G ARAREA: Length 01 Width Height DECK AREA: Length Width Hgt/Ground OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Sq. Ft''. Sq. Ft. Sq. Ft. Yd. Setback Side Yard Setback Type of Construction: W 0,,, A -4 c Nm .c Approx. Completion Date: C>' Proposed Driveway Width If New Opening Is Desired: DATE: S --,.,L --ff -'T Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge STIPULATIONS: 00 Estimated Cost: $ Alt. A Alt B See Back Page for Explanation APPLICANT: 46C Tel. #q'6 q USE ONLY aFee Schedule on Reverse Side $ 25% of Building Permit Fee $ 2� $.50/$1,000 Valuation $ ---� $425 per SAC Unit $ Fee Determined by Engineering Ip Agreement Necessary [ ] Not Necessary [ ] AS. F3 co I o ie X.T 1 as F3 ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT JOB LOCATION 141 62-41 WAN V4. S. — 1=9LIDL—E%f M -P-1 • OWNER(S) PHONE CONTRACTOR �S T►� T-.3t�1�E.R.S �i.1t_ . PHONE +9K- ! SS Z9 A. Determine The Total Exposed Wall Area As Follows: 1. Total wall window area 110110. 11 2. Total door area moo e 3. Total sliding glass door area 4-0.00 4. Total fireplace wall area V1C,"c 5. Total wall framing area (avg. 10%) 58.3 O 6. Total net wall area above floor 3193 • S4 7. Total rim joist area SS. d4 Subtotal: Total exposed wall area above floor sibs 0+ 8. Total foundation window area 1`,Ao s 9. Total foundation framing area (avg. 10%) 4.40 10. Total net foundation area above grade Subtotal: Total exposed foundation area 44,.02. GRAND TOTAL EXPOSED WALL AREA (92"1.0` B. Multiply The Grand Total. Exposed Wall Area x.1,65= 163.4 I tem I 1 10.6.4 C. Determine The Total Exposed Roof/Ceiling Area As Follows: 11. Total skylight area 12. Total roof/ceiling framing area 13. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA Qc,aF. 39.'10 3S1.30 39'1.0 0 D. Multiply The Grand Total Exposed Roof/Ceiling Area x.0.13= 13.10 Item II 13.)0 E. Determine The "U" Value Of Each Segment (1-10) And Multiply By The Area As Follows: 1. 10(..11 x „u„ 2. V404e x [lull 3. 46;00 X "U" • 3'3 4. MoaG x Hull 5. Sa.3c -x "U" . o� = 3 •SO 6. 3 `3. S9 x "U" . p3 = l o •� I 7. SS•O4- x "U" .a4 = Z•ZO 8. VA.6exE x Bull -- _ 9. 4.4+o x "U" . 4't = 2 • o Z 10. 39. 62 x "U" . 4't = 1 a -cot Add 1-10 For Total Wall Segments = lo -1441 Item III F. Determine The "U" Value Of Each Segment (11-13) And Multiply By The Area As Follows: 11. 1, oaE x l, u„ 12. 39.1 O x I, u l, 1 z.. 4.-t 4 13. 351.30 x "U" Add 11-13 For Total Roof/Ceiling Segments = 11.9 1 Item IV 11.4 L G. If Item No. III is the same as, or less than Item No. I, you have met the intent of State Building Code 6006(c)2. H. If Item No. IV is the same as, or less than Item No. II, you have met the intent of State Building Code 6006(c)1. I. Add Item No. I 03.dlrco + Item No. II t 3• J. Add Item No. III 10.99 + Item No. IV K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the code for total envelope system. Signature Date Tags _r SUBJECT P City of Fridley 21458 AT THE TOP OF THE TWINS BUILDING PERMIT i • R O. 11. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. /---1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/24/92 JOB ADDRESS 141 - 62nd Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Juli-•Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Vietzke 141 - 62nd Way NE 571-2960 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tim Volk Construction 8731 19th Ave S Bloomington MN 55425 854-0537 2154 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 Reroof house & Garage (21 Squares) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 60 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 ISTALLS 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 $1113 $.56 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 R LOCAL LAW REGULATING CON- $29.00 Fire SC $1.11 STRUCTION OR THE PERFO M F STRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $35.67 SIGNATURE OF CONTRAC R OR AUTHORIZED AGENT IDATEI I TED THIS IS YOURPERMIT �_HEY �ySIGNATURE DATE OF OWNER JF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: Contractor: Effective 3/1/92 Tel. # S7l jam® MN LICENSE # Address: F,73/ — l A49;®. Tel. #�/�53� 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width / Hgt/Ground Sq. Ft. OTHER: 0, l S2_s g Co° 7� a Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: r",,Pe)o,�c Estimated Cost: $ Approx. Completion Date: c -//a/92 � /, / 12, 06' Driveway Curb Cut Width Needed: APPLICANT: 'E� DATE: 7 �� Permit Fee Fire Surcharge State Surcharge SAC Charge (Cost on Bac)c) Ft. + 6 Ft = Ft x $ = $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: .a- 0o I CITY USE NLY Tel. Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .r CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On March 1, 1996 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT r, 'P T MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required. ( )Yes () No TypgI . IlGii/I /U.1_4/ /_-2, // $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL $ .50 JOB ADDRESS2YZ /kj d The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. i " S Owner,',, %�/� / �, ,✓ 6 c /��Cry Building Used As Estimated Cost PERMIT NO. //'-6 '1996 PLUMBING COMPANY Li SIGNED BY i TEL NO. Approved By Rough—In Date Final Date 27 MINIMUM FEVFOR PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. I? _ J_ 11 � � ' � Ex NOU-16-2005 10:40 From: OCT -25-2005 1S:11 7CS-572-3604 DAZE / 1 - / 10 - STIM ADDRESS THIS APPLICAsNI' IS PROPERTY OWNER/ TENANT To=7635711277 P.1111 CITY OF FRIDLEY PLUNMIING t� S DJEN IAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS e Y!-1 VflE: IJ,yyIE� NlJ '.5 �')��,y�ii✓s'll t Permit Received By: Date Ree'd: P. 02/04 SUBMIT A COPY OF STATE LICENSE tr J/ AJ EXR DATE /a - 3/-r✓� YOUR STATE ADDR=: 021301 ' I � / CITY i206:6- S STAT$ zrp ;SS37 V LICENSE Wrf H PHONE +% La -V --) S" i,33 FAX _e935� APPLICATION PERMIT TYPE VSIN= FANffLY C3 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW L�EPI.AC2:1v11:NT PER MS 10.965 the peri,4a fee is a tlti►lifuuul u1515.t1t/ t r 5°f;, of the total cunt up to $500,00, whichever is greater, for the improvcmcr t, iLstalla>10. of i eplacert�e�,f Of a rcSidel►tial fixture, excluding tae f'WWCS. (This should reflect only the cost of labor .$ Labor cost ander 5300 - It 5.00. Laib4r cost between 5300 to 5500 = cost of labor x .0f= FOR PROJECT'S WHERE LABOR EXCEEDS ,SSOU, FEES .aRE BASED ON $10.06 PER FIXTURE, EXCEPT W=— NOTED. Fi7OVM: (INDICATE TOTAL NUMBER OF EACH BELOW) —BATH SL4K/L tV _fi CSR D.R ; -i5 SkIO D•cR WATER -{PING —BATHTUB _ GAS P1 PW (Nim c"IjCD44 S WDAMING POOL WATER SO} INER (S35) _ CLOTFIFS WASHER _ KITCHEN SINK _! wATRR CLOSET BACKFLOW S PREY. (S15) _ DiSIiwPSH>:R _ L�;u;�i.R j ,-i.i .'i •,L,wn 161i tiEAi-tt (533) FOR 1RLlGATION WA1'EK iSTEA I mOTMER Permit Fee . ONumber of flacaues @ 510.00 x $10.00 a $ Surchar a .50 Numbcr of factures @ S15.00 x S15,00 m S TOTAL DUE S �;_Q2 Number of fixwes @ $35.00 1 x $35.00 = Uta, _00 State Surcharge - S .50, Tow -S 5,5) TKiS IS AN AFFLICATION YUK A PERRIIT-NOT VALID UNTIL PROCESSED' I hereby ,1-: fOr a "i-f,ii cu4,1 I that ale Lulu oration aWvc is complete and accurate; that the work will be in conformance with the ord naucca and codes of the City of Fridley and with the Minnesota Conscttcdox Codes; that I understand this is not inn', but eta)'. an at:i.li�a[ivti f r j,:i_w t :u.3 ��wk is uui to SLWL wiaiuuc a permit; that the work will be in accordance with the X-1 ___ . �f rll�a'urK etilu a �' y�u�a icview W-ja appiuval of plans. DATE 4aq(o 3I 1 a'�4N 13 City of Fridley Building Inspections Department w p 6+31 UluVersity i-1,Vt;1,u.e XE, Fridley, MN 53432 763-5'72-3604 - FAX: 763-502-4977 t �-i+ Gia Building BUILDING Permit No.- 4 1 Inspections RESIDENTIAL APPLICATION Received Br 763-572-3604 CITY OF FRIDLEY Date Rec'd: 1� DATE /_ 3b_ OC. YOUR E-MAIL. ADDRESS SITE ADDRESS _62 Z N '!Zte a • A— THIS APPLICANT IS: ❑ OWNER CONTRACTOR 1 .�c•- � sr, PROPERTY OWNER/ NAME:G r ADDRESS: A, -E— CITY STA _ TENANT PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE 3 " �4:� iJ YOUR STATE LICENSE ADDRESS: Z` — /� CITY STATE'=`QIP WITH APPLICATION PHOS jr— � FAX i k LV PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑�AR ❑ WINDOWS ❑ BASEMENT FINISH OFAGE/SHED ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ EW ❑ ADDITION AINTENANCE/REPAIR ❑ REMODELIN DESCRIBE WORK 1311114b' DO l Gf HEIGHT S . Ft. SIZE OF IMPROVEMENT LENGTH AV WIDTH BASEMENT REMODELING SUBMIT: ROOFING ❑ HOUSE ONLY 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 3. PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 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 LAnutc AND Iv1AILK ALL3: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3�1 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due I hereby apply for a building conformance with the ordinanc permit but only an application plan in the case of all work A SIGNATURE OF 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach / APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED / ac wled the information above is complete and accurate; that the work will be in of City f dley and with the Minnesota Construction Codes; that I understand this is not a in or s to start without a permit; that the work will be in accordance with the approved a oval of plans. PRINT NAMF�Lf/Gt LAN DATE Building BUILDING Permit No.;c0ci-1(05 Inspections RESIDENTIAL APPLICATION Received By: _ 763-572-3604 CITY OF FRIDLEY Daze201 763-502-4977 FAX EFFECTIVE 1-1-09^^ DATE 4 ` I d �qq YOUR E-MAIL ADDRESS 4 Z- 1 J t5G fttJ 5E : �' TM JV1 L SITE ADDRESS 114 r (4 *a ftftr W ft n) '=' x.44 L& S, 02 J . THIS APPLICANT IS: 0 OWNER JS ONTRACTOR PROPERTY OWNER/ NAME: SO hw X/ bgNm - TENANT ADDRESS: iw! Ga&W"J 4y fue• CITY FrtwLa VZIP- ySTAT^ PHONE: C�.CI- 373 OS!'� CONTRACTOR NAME: 1_ Lei pl-fiievS STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: I OR 13 ) 267W ALA r"f) CITY ElK Aisw " STATE#h✓ZIP 333 INSURANCE PHONE 4i ! FAX 4i - g"0 4/ - 451047 PROPERTY TYPE PCSINGLE FANHLY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION JWGARAGFJSHED O WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK 0 SIDING O OTHER 0 SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUCTION IT ADDITION 0 MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: �S %Z �Wfts'c >�� �T dw.7 01. E- 7s STIE S SIZE OF IMPROVEMENT LENGTH Wbl' WIDTH IS HEIGHT / SQ FT ROUEN - 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0 HOUSE & GARAGE 1. Existing Floor Plan GARAGES ;9ATTACHED GARAGE PROPOSED SIZE:33 _ _ L% 0 DETACHED GARAGE 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: _ FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING 0 Vinyl ®Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ® Aluminum O Other IF Trim IN Fascia andro project P Pow 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATIQJq OFWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF X t{ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA'ChRIALS: THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �[ I 45t P lq OCCUPANCY TYPE Permit Fee $ 10 1 I of "J Plan Review $ J Fire Surcharge $ Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $O� . 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) $2000 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 payable to: City of Fridley Attar 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 approved plan in the case of which.req rrr review and approval of plans. ' - J +_, SIGNATURE OF APPLICANT �V - PRINT NAME / / �. 1� �CMi dr✓ DATE ^�` d� I PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR_PLUMBING, ELECTRICAL AND MEUkIANIUAL WUX& - I Sa31qmM .,nc . T%, %A S] r--l.PD Ni '"04'Q 0) �q�'��' t,� •` l� mt/li► 11 1 if- -S •o] - wzq t%,►, w, c.-:�t )awn L,r ,silk 40�'~t^ �S�Myx--q ?�Q� ua-� 41����, 3j��-fib b 3 -C- _ 1 . -<* T'.JNQww �rz� riI Jr ys rr7CW -SPO b/ i • bi =I J 2fops rTY Liu � p • HARVEY A. CART,VRICiHT A446kJ ctnitNYY mit,»,vvd I hereby cartify Block 2, Juli•-'.n surveyed by me d