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PRE 2010 DOCSn r City of Fridley, Minn.. BUILDING PERMIT Date: Sept. 11, 1967 D. L. Scherer Builder Same Adm 6525 2nd St N E Address Same LOCATION OF BUILDING No. 170_ Street 62nd Way N. E. _ — Part of Lot Lot — 4 Block _—�_ Addition or Sub -Division _— 'pntaAPk'a Corner Lot __ Inside Lot — x Setback 35 _ Sideyard Sewer Elevation 821-98 894.9$ Ton of Footing DESCRIPTION OF BUILDING 3 -7Z �3 -,/- 'N9 9442 To be Used as: Duelling Front _ _ 0.' Depth ' Height .2.01 _ Sq. Ft. Cu. Ft Garagg Front 991 Depth 10'_ Height 10' Sq. Ft. Cu. Ft Type of Construction Fr=Q Est Cost —020 000___ — To be Completed SEWER. LOCATION - 11'W. of Manhole WATER LOCATION - 21' W. of Manhole In consideration of the issuance to me of a permit to construct the builds% described above I agree to do the proposed work in accordance with the description above fortis in pliaace with afl provisions of ordinances of the city of Fridley. � �' Y 1 $100.00 Sewer Connection Charge Sche Ea ccarsideratlon of the payment of a fee of $ 43.00 1 permit is hereby granted to D . L • rer MOMUIRX 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 sad his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall cenform is all respects to the ordinances of Fridley, Minnesota reg location, conatruct%n, alteration, maintenance, repair and moving of buildings within the dty ]smite ands permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLAUNCE BELISLE Building Inspector NOTICE Tbls poem* does net cover the condruddon, Insmil ion for whine, plumbing, gas boding, sewer or wdsr. Be ogee to see the Building Inspedtor for separde perms for these *ems. A..2111-IMIM-i FOR BMILDIRG MXLET Ci't'i 0: FRILX- 1-, riiX:iESOTA OWNER'S NAME / N C_ BUz1DER �rc ADDRESS ADDRESS LOCATION OI' BUILDING NO. `` 70 —STREET•��r V, PART OF LOT 1 LOT BLOCK I ADDITION OR SUBDIVISION�4/U �P CORNER LOT INSIDE LOT SETBACK �� SIDE -YARD SE14ER ELEVATION 7 FOUNDATION ELEVATIOW:� <//- -%v Applicant attach to th41 form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILD= To Be Used Ad: (ilk Front ! y Depth /0 Height �- ���� Sq. Ft. Cu. Ft. 2 LO /d Front Depth_ Height Sq. Ft. Cu. Ft. 1� Type of Construction �1r Estimated Cost JQa To Be Completed A/61y 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). C' Cs City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures ar rn w F TOTAL Number Fixtures ...... ....... ....... Y1 Z_ iii 14/- 4Future Z -�Fi axr�� 1 �8 Za} �r 2 ee O W x $1.50 t� aa' Z- 9! O • F • N WATER HTR. GAS ELEG Base . to ' P7% New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater 1z $ I NO. RATE TOTAL let 3 Fixtures ...... ................... Z. 3 IX x $ .75 1st Gas Range to 199,000 BTU .............. x $6.00 $ 3 °° e 2nd 3rd 4th • Futnre Connection Openings * New Fixture, Old Openings I Connected with Sewer Cesspool Ej❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ....... ....... x $2.00 $ 14/- 4Future FutureFixture Opening ................ x $1.50 $ .6—d New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.•00 . to ' P7% New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL let 3 Fixtures ...... ................... x $2.00 • rJ $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $6.00 $ 3 °° e REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ `� - City of Fridley: -'v - 'lilz-7 " P ol The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 1967 Owner L Kind of Building Used as To be completed about C'/� P/'P .9 --- Estimated Estimated Cost, $ Old—New. Building Permit No09 g 4� Permit No.1z' ' ' " 7' Signe fid By Business Phone 1 o ROUGH q- 3/'- G' FINAL 42 City of Fridley, Minn. N° 9 4 85' -pf 3 74'lr-- BUILDING PERMIT 0 Date: 10/5/67 Owner: _ Drew Scherer Builder A.B. C. Address 6525 2nd St. N. E. Address 1308 Main St. N. E. LOCATION OF BUILDING No. _ 170 Street_ 62nd Way N, E. _ _ _ .__ Part of Lot Lot _ _ _ Block -- Addition or Sub -Division Corner Lot Inside Lot Sewer Elevation To be Used as: Setback --- Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front _ Depth _ _ Height _ _ _ — Sq. Ft. Cu. Ft Front Depth _ _ Height _ ____ Sq. Ft. _ _ Cu. Ft. Type of Construction Asphalt Drive Fit Cost X163.00_ ___._....._ To be Completed n U 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 qdt fo an mpliance with all provisions of ordinancxs of the city of Fridley. 9 . In consideration of the payment of a fee of $ 5.0(f ., permit is hereby granted to A. B. C. Blacktop Co. to construct the building or addition as described above. This permit its 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 buil within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Bard ordinances. CLARENCE BELISLE Building Inspector NOTICE: 'fids permit does not cover the construction, Installation for whine, plumbing, gas heating, sower or wafer. Be sow to me the Building Inspector for separate permits for them home. L_J APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAUILDER /% G%PJ G ADDRESS I S o'1 �'- �} N� �%'i /� ( ADDRESS S'° 1t4 d LOCATION OF BUILDING NO. r'7 STREET &)AL PART OF LOT LOT BLOCK A DITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCRIPTION OF BUILDING Front Depth Sq. Ft. Front Height Cu. Ft. _ Depth Height, Sq. Ft. ^� Cu. Ft. YP 14-:s /JXO l�� e eo T e of Construction Estimated Cost �- To Be Completed The undersigned hereby makes application for.a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 5,- 1516 2 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fating Perndt DESCRIPTION OF WORK Dept. of Bldgs. Phone 560-3450 /=' Number, Kind and Location of Fixtures Location,/70- ocation ,/ 7�/ ` (52— City of Fridley: q CCMII +g � w r 3UJpp x $3.25 N �m� y Z N IVL 3TC �Z $2.00 $ <� Z O5i , �•d �nS UZ' Z 0 • • N WATER HTR. GAS ELEC. Base I I 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Number Fixtures ...................... x $2.00 $�� Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. Catch Basin ... ........................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x $1.50 a $ x $3.25 $ x $3.00 $ ` —t --o x $3.25 $ $2.00 $ RATE TOTAL x $2.00 $ x$.75 $ x $5.00 $ The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 196 Owner Kind of Building' C > > > Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. �7 Signed B L / Business Phone No ROUGH FINAL Description ................................................$ TOTAL FKE $ az AppDacaFl®n ftr Pawor Pkn%u and 4MaaNrg, =jjngo Venraictivim. Refaigeraxon and Air Cowidi2l®nong Systo s ®rad Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. RATE TOTAL $ $10.00 LRA $ 6.00 .mac $ 6.00 9c $ 3.00 4c 76' 0 d $10.00 $ 3.00 $ 6.00 $ 6.00 9c $ 3.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $ — $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Cater ... Wig$ 10.00 Each add. 200 sq. ft. EDR Steam ...................... $ 3,00 Each add. 320 sq. ft. EDR Hot Water ............. .... $ 3.00 OIL BURNER—to 3 gal. per hour ........... ] $_ 6.00 over 3 gal. per hour--eee Fee Schedule > 199 000 GAS BURNER (up to i BTU) ..... ................. 5.00 6- $ GAS FITTING �Y& 199-9000 BTU NO RATE TOTAL 1st 3 Fixtures ...................... x $M $-5-2-0-0 $2.00 Additional Fixtres ..... x Gas Range to $ �$ 2.00 75 34 .......:.. , x $ $5.00 AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS RO;IGH FINA r' - i r • $ See Fee Schedule $ TOTAL FEE IiEz Dept. of Bldgs. Phone 560-3450 Loch 1-70 - 6 c2,, of a-) a--� /v 6". City of Fridley: 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 declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- -L e- • -G\X1f1J1 19 Owner ' Kind of Building �At' Used as 6s e To be completed about p 8-d v Estimated Cost, $__�a D C c R Old New. wilding Permit No. 1?--Y�Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, azm Air No Trade Name Size No -6;4P© —// 0 Capacity — Sq. Ft. E.D.R. O O BTU H.P. Total Connected Load --�3 , 0 00 Kind of Fuel BURNER — Trade N:unp Size No - Capacity Sq. Ft. E.D.R BTU H p, AW Signe 14SAT1N t�90�1 B 90It BLVD, .WZZjM42 Business Phone No- (REMARKS—OVER) C iON ROMS -HTG. s' AIR CONM INC. job Y+ ,1410 Excelsior Boulevor ,y Minneapolis 16, Minn. �"� ya, t + J A ga MEAT LOSS "LATIONS lab Waetherstrips A� H v Construction Guide Windows Doors Reference -Out. Wall Int. Wall C,dingb Yes—No +: -Yes-- No 19 .--,- 1't�ar ,�Itt,� tt>4 a F1.1 Room Lengrh'.j�. Width /r� Height _ +,gtti' g Windows 'and Doors—Crack ago, 'and Area Windows and .Doors- + kage and Area Width Helght No. of Lineal ft. Area '' � Idth Height A Lineal ft. Area No. of pane of pane lights of crack eq ft. �' No. of pane of pane - lige • ,r crack sq. ft. f Coef. Btu Coef. Btu Infiltration " r`_ "� Infiltration Glass �5"C) Class _ - Fap�wallEap. 'wall Net exp. wall 1,61 d yq PO Net exp. wall f � Int. wall Int. wall Ceilingry Floor Floor Total Btu. 2 ) Total Btu. Required sq, ft. E.D.R. or sq. inb-I W,A. Leader area Required sq. ft. E.D.R. or sq. ins. WA*. Leader area t 11.1 Room Lengt, ", Width e) Height Fl.l , , L)l bi ' Room I Length' Width.Z3 Height Windows and Doors—Crack and Area Windows an Doors—Craekage and Area Width Height' No. of Itineal ft.. Area Width Height No. of LlneeL[t. Area -' No. of Dane of pane lights ''ot crack eq. ft. No. of Dane ' of pane lights of crack sq. It. r. • r i 1i Coef. , Btu Caef. to Infiltration d ,: ;�' - Infiltration , q 3 0 Glass �_ rte) �'�, 510 Glass :!52 r Exp. Walt Exp. wall ° C,� Net exp. wall Net exp. wall3 f v Int. wall Int. wall Ceiling Ceiling -- - Floor _ Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. in'W.A. Leader area Required sq, ft., E D.R. or aq.; iris. W.A. Leader area a Fl. Room I Lent Width .: ` C 'Height Fl.j ' ` a f� ' Room l Length 7 Width Height Windows and Doors—Crack g' and Area Windows and Doors—Crackage and Area Width' Height -No. of Lneat ft. Area No. of pane of pane lights pf crack sq. ft.idth Height No. of Lineal ft. Area NaNof pane of.pane lights of crack -eq. tt. 1 Coef.1 Btu Coef. Btu Infiltration ,CJ ! Infiltration C� C9 Glass GlassSe I Exp. wall .3 Exp. wajli Net eap: wall 25� 01Net ejip� wall 0 Int. wall Int, wall�� m,•' Ceiling Ceiling`;` C'r G+ Floor Floor = Tbtal Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. V A. Leader area Required sq. h. E.D.R. or sq. ins. W.A. Leader area ca�iee for Power Cooliri% 1�eMiloti�®. Rehilve md Air QwAflwkq Symmm and Dovkn PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL lLrnace Shell & Duct Work $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $5o0.0o 6.00 S._--_ Repairs & Alterations each add. $500.00 300 $—_ MECH. WARM AIR Furnace Shell & Duct Work to 130,000 BTU ..$10.00 $-- _each eachadd. 60.000 BTU ........ 3.00 *- Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. F.DR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3 on $ _ Each add. 320 sq. ft. EDR Hot Water 3.60 OIL BURNER— to 3 gal. per hour 6,00 $ — over 3 gal. per hour --See Fee Schedule GAS BURNER Cup to 199,000 BTU) 6,00 $ over 199,000 BIU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures -- - — x$ 200 -..- Additional Fixtures x .75 Gas Range to 199,000 x$ 5.00 $ AIR CONDITIONING FAN HEATING STWIEN VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL _/=/2 - %.S State Surcharge « .50 �Sse Fee schedale $ TOTAL FEE Dept. of Bldgs. Phone eM"M C '�2 661, City of Fridley: The undersigned hereby makes application for a permit for the work herein -specified, agreeing to do all work in strict accordance with the City Osrditsanees and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and eorreeL Fridley, Affli nJ11113 F 1>r! Owner / K)nd of Building a 9 Used wt ...-� To be completed about T Estima?ed C'oct, $ 01d—New- Building Permit No. Permit No. CATION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm "_No Trade Name_ Yka - Size No&fZ(p Y -Z -- Capacity— ---_-- --- sq. Ft. E.D.R gam) H.P Total Connected Load --_ Kind of Fuel BURNER — Trade Name Sime No Capacity_ Sq. Ft FLDR BTU Mr. Ideal Sheet Metal in: 544 Summit St. N.E. Mpis Minn. 55421 Sivwd-- Budness n PI Ne -% ?o— / 6 . (RRMARMR—OYER) - 560.3450 (Zit ,y of 7ridley ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432 November 17, 1975 P. M. Endsley Company 801 Nicollet Mall Minneapolis, Minnesota 55402 Re: Sewer Backup Date: June 19, 1975_. Location: 170 a 62nd Way Northeast Owner: Bryon B, Davis Gentlemen; Attached is a copy of the NOTICE OF JUDGEMENT in favor of the plaintiff, Byron B, and Elizabeth D. Davis, for the sewer backup loss on June 19, 1975. Would you please take whatever action is necessary to protect the City. Thank you. Very truly yours, Marvin C. Brunsell Asst. City Mgr./Fin. Dir.. MCB:sh Attachment cc: Nasim M. Qureshi, City Manager Richard Sobiech, Public Works Director ✓ Virgil C. Herrick, City Attorney STATE OF MINNESOTA COUNTY OF ANOKA I Byrca B. and F11=bet!z D. Davis 170 62" Way 11. X. L F ul"s W ttw 5543.2 PLAINTIFF, Vs. F city offt"iy 5431 university Awwee N. ». I Faa Ws ftwwota 55432 07 I CONCILIATION COURT NOTICE OF JUDGMENT Fi 1 e No. 10604 Date: November 14, 1975 DEFENDANT. The parties are hereby notified that the Court has ordered Judgment in .favor of the Plaintiff in the sum of $ 959.79. The Court's Order is stayed by Court Rule for ten (10) days from the date of this Notice (no appearance is required on that date). Deputy Clerk DEFAULT JUDGMENTS: Any party who was not present at the Hearing, and who has good cause for not having been present, may apply to the Court not later than the last day that the Order is stayed, for permission to reopen the case for another Hearing. If the Court grants another Hearing, it may require the payment of $25.00 in costs to the other party for the incon- venience. APPEALS: Any party who is aggrieved by this judgment may file a Demand for Removal to Probate -County Court for a new trial. The Rules governing such removal must be complied with no later than the last day that the Order is stayed. It is suggested an attorney be contacted if removal is to be taken, since the Clerk of Court cannot give legal advice. SATISFYING JUDGMENT: The losing party should pay the prevailing party directly, securing a written satisfaction of Judg- ment from him, and file the satisfaction in this Court. Payment in full before the last day that the Order is stayed will prevent the docketing or enforcement of this Judgment in Probate -County Court, and will thus prevent an execution or other pro- ceedings which increase the amount of costs the losing party will be required to pay. MOTOR VEHICLE CASES: If this Judgment arises out of the operation of a motor vehicle and requires the payment of money, this Court is required by law to report to the Highway Department the failure to satisfy the Judgment within thirty (30) days from the last day allowed to appeal. The Highway Department will then suspend the license or driving privilege of the person against whom this Judgment has been rendered. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE �q`Effective On January 1, 1997 Fridley, MN 55432 �� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT^�Z 572-3604 Y A MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water Bath Wash Drink Floor Catch Auto. Stories Closet Urinal Tub _ Shower Sink Tray Fount Drain Basin Washer Basement! Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL 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** I $10.00f6� Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance `fid State Surcharge $ .50 TOTAL FEE JOB ADDRESS IlD Gas i Gas Appl. I Range I Misc.: Fixt. Water Heater Gas :' Elec i I i / /e The undersigned hereby makes application for a perm it 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. 1997 Owner /vim �G �S 3� %C/ — c% S 71 Y Building Used As ,Qs ie o Ce Estimated Cost�PERMIT NO.__ P UMBING POMPANY SIGNED BY _ - �f�� � TEL No. Approved By JtC4 Rough—In Date Final Date MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS $20.00 e&�o� PLUS THE $.5 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. i SuBJECT R City of Fridley _ 2 8 X47 AT THE TOP OF THE TWINS PERMIT i� 572- 1 BUILDING O V ______ COMMUNITY DEVELOPMENT DIV. TIVE INSPECTION SEC. ®6 I; I � PROTECTIVE 6R NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 554.32 L 612-571-3450 910-F15 II 1/19/99 JOB ADDRESS 170 62 Way NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Fleischacker 170 62 Way NE 571-7002 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lindstrom Cleaning & Construction 9621 10 Ave N, Plymouth MN 55441 544-8761 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1087 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING 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 $2,399 $1.20 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 COW $74.75 Fire SC $2.40 STRUCTION OR THE PERF MANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE License C $5. $83.35 SIGNATU F CON' TOR OR AUTHORIZED AGENT IDAT I EN ROP VALID TE IS IS YOUR PERMIT B G INSo DATE SGNATURE OF OWNERoF OWNER BUILDER, IDATEI i JAN -19-1999 11:58 FROM CITY OF FRIDLEY TO 8691177 P.03/04 NEW [ ]Effective 1/1/99 ADDN [ ] 1(��"'I CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEKES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: euD Legal Description: Owner Name & Address: ,a d- its , L 2i, ate, P2 Tel. # S21 7= Z Contractor: L..r,„n g_�"�� ���, aa; S o^. MN LICENSE # I O R`7 Address: !C�`Z Tsai /d%� �. Tel. # S�/ 977(04- _ 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: 4'- 3 e �9 Construction Type: %a1.L-ems T , Estimated Cost: $ Coke /-�h� -mow Vt'� t Z5 9—'A (Fee Schedule an Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: j —1 q-/MAP'PLICANT:!,T-'„ (A �_ Tel. #_ CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ SoG� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] $ e3, 3 t /p SUBJECT P City of Fridley _ 32439 AT THE TOP OF THE TWINS BUILDING PERMIT r 16 COMMUNITY DEVELOPMENT DIV. � INSPECTION SEC. r I PROTECTIVE i "'�'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ...� L 612-571-3450 910-F15 2/28/02 10B ADDRESS 170 62 Way NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Fleischhacker 170 62 Way NE 763-571-7002 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Standard Water Control 5337 Lakeland Ave N, Crystal, MN 55429 763-537-4849 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1522 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install interior drain tile 9 CHANGE OF USE FROM TO STIPULATIONS Electrical extension cords can not be used as part of the power source to the pump. Permit inspection Cards Will Be Mailed To .Homeowner To Post 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 ] 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 $3,580 $1.79 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- $97.25 Fire SC $3.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK f EE TOTA E Lice S $5.00 $ 0 .62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE- ENP OPER ALIDAT T IS YOUR PERMIT/) 0e < 'I NSP 1• rjArt SIGNATURE OF OWNER OF OWNER BUIL DERi iOATEi IBLDG t /p FROM : FAX NO. 7635371882 Feb. 28 2002 02:18PM P1 Poswe Fax Note 7672� j ' //�\ / No wraps roft%oa��' rma, To I �C.r r LJ 7' From � 01;10 Co / Company / LCOMM _ FrotiF ielaphone d Fad Te*M0 6 n� oto ... . p D99h_.... y Ram � cd.w owm JAN -21-1998 11:17 FROM CITY OF FPIDLEY TO 53718e2 P.01i02 LrGw L 9 zriceuve X11195 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 117/) - A-/) jh1r1IA Legal Description: Owner Name & Address: 124"Tel. # FMf_."t 711 LIVING AREA: GARAGE AREA.: DECK AREA: OTHER: LICENSE # a Tel. # 7103 5w - 7 w Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCREMON -OF EMPROVEMENT 7 CDC -Th 'Width Freight Sq. Ft. i cAgth Width Height Sq. Ft. Le Width ---- Higt/Ground Sq. Ft. /AlOJfP%�iA)T 6E Construction Type: Estimated Cost: $ :51a" GSC/ (Fee Schedule ,on jwk) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: O APPLIC. Egli Tel. a71o3S3z S`sr� TOTAL $ —/10)9, e . STIPULATIONS: Pmt Fee $ ,;S' Fee Schedule on Reverse Side ' Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge S ® $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ r j $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 j ] Not Necessary [ ] TOTAL $ —/10)9, e . STIPULATIONS: r' l CITY OF FRIDLEY PERMIT NO.: 2005-01985 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/16/2005 572-3604 FAX: (763) 571-1287 PRINTED WITHOUT ISSUING 4/18/2006 ADDRESS : 170 62 WAY NE PIN : 153024430043 LEGAL DESC : POTASEKS ADD : LOT 4 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ALTERATION VALUATION : $ 14,608.00 NOTE: INSTALL 3 SEASON PORCH APPLICANT BUILDING PERMIT FEE 251.25 FLEISCHHACKER MICHAEL & ANN M PLAN CHECK FEE 163.31 170 62ND WAY NE FIRE SURCHARGE 14.61 FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 7.30 TOTAL 436.47 PAID WITH CHECK # 5049 OWNER FLEISCHHACKER MICHAEL & ANN M 170 62ND WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Fridley Permits: Daily Cash Processing - Detail Receipt Date: 4/18/2006 GL Acct. No Description Check Cash Amount Permit # 2005-01985 170 62 WAY NE FLEISCHHACKER MICHAEL & ANN M P 101-0000-205-0000 State Surcharge Fees 7.30 101-0000-322-1041 Building Permit Fees 251.25 101-0000-322-1541 Plan Review 163.31 101-0000-342-0721 Fire Impact Surcharge Fees 14.61 Permit Subtotal Check # 5049 436.47 0.00 436.47 Report Total 436.47 0.00 436.47 4� ti v 4/18/2006 Page 1 of 1 Building $ BUILDING See Back Page for Fee Schedule Permit No. • Inspections A Co �) . 3 ( RESIDENTIAL APPLICATION Surcharge Received By: 763-572-3604 (.0005) times the total job valuation - Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: DATE 5—/0 — OS YOUR E-MAIL ADDRESS $ SITE ADDRESS 1 �� l� ° y✓ v NIL E p- to L - G - y SAC Charge THIS APPLICANT IS: OWNER CONTRACTOR $1450 per SAC Unit (Plans to MWCC for determination) PROPERTY R/ OWN NAME: LE �C � TENANT 1� ADDRESS: 1 Z D -'JD wA,� !V.f, CITY Ff21bL'6V STATI11IP 3 Z _loo PHONE: 76 3 J 71 — 160 2— Park Fee CONTRACTOR CONTRACTOR NAME: /M / KE F711_E1S G66bdr4C1CL-2 Fee Determined by Engineering SUBMIT A COPY OF STATE LICENSE #_8c -,2 03'/ / O 3 6 EXP DATE 31- U 6 YOUR STATE LICENSE ADDRESS:, 70 &,2ND .e-JAV /J : CITY N STAT614IP `:32 WITH APPLICATION PHONE -7 0 FAX Make checks payable to: City of Fridley Attach Stipulations PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WS 03MC3.5 &J ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ° ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION 3 - s iso Al 'P ❑ MAINTENANCEMEPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 3- S r=,qs&,, 1 FOAe4 M-8 Sbel SIZE OF IMPROVEMENT 26 LENGTH �o WIDTH jq ark HEIGHT Sq. Ft Q© ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan 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 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USTOTAL JOB VALUATION IN;4®9997 U.B.0 FEE OCCUPANCY TYPE Pernfit Fee $ QE1 . Q S' See Back Page for Fee Schedule Plan Review $ A Co �) . 3 ( 65% of Building Permit Fee Surcharge $ -7.730 (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ (`t' . Crll .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 4 3 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wo )W rem; ev app val of p1ansA� �/,,,K� SIGNATURE OF APPLIC PRINT N �` G�f SG��/ $ — /(j O� CU sTmmEa TOOA cmw *-"��emi r City of Fridley Permits: Daily Cash Processing - Summary Receipt Date: 4/18/2006 GL Acct. No Description Check Cash Amount 101-0000-205-0000 State Surcharge Fees 7.30 101-0000-322-1041 Building Permit Fees 251.25 101-0000-322-1541 Plan Review 163.31 101-0000-342-0721 Fire Impact Surcharge Fees 14.61 Report Total 436.47 0.00 436.47 4/18/2006 Page 1 of 1 CITY OF FRIDLEY PERMIT NO.: 2005-01985 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/18/2006 36U4 YAX: 17631,71-1257 ADDRESS : 170 62 WAY NE PIN : 153024430043 LEGAL DESC : POTASEKS ADD LOT 4 BLOCK 1 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ALTERATION VALUATION $ 14,608.00 NOTE: INSTALL 3 SEASON PORCH APPLICANT FLEISCHHACKER MICHAEL & ANN M 170 62ND WAY NE FRIDLEY, MN 55432 OWNER FLEISCHHACKER MICHAEL & ANN M 170 62ND WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. BUILDING PERMIT FEE 251.25 PLAN CHECK FEE 163.31 FIRE SURCHARGE 14.61 STATE SURCHARGE, VALUE 7.30 TOTAL 436.47 PAID WITH CHECK # 5049 A SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.