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PRE 2010 DOCS
Ii Mage of Frldleyy Minn. BUILDING PERDMM N° 969 Office of INSPECTOR OF tUMDINGS i Architect Builder. LOCATIOD . 1;: r r No. r r- Street- �-� Lot Block Addition Permit is hereby granted tom, the building �r ? A� described in upon the express condition that the person to whom it is granted, a the work done in, around and upon said building, or any part the'. nances of Fridley, Mnn., regarding the construction, aiteratiob, z within the city limits, and this permit may be revoked at any time ordinances, �' gam_ ✓�;�..,_� of Construction 4 - the the above statement. This permit is granted 3 his agents, employees and workmen, in all ,of, shall conform in all respects to the ordi- dutenance, repair and moving of buildings ipon violation of any of the provisions of said of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the inspector of Buildings of Fridley of the above permit,'I hereby agree to do the proposed wo* in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me!land contained in the above permit are true as therein stated. !!� Subscribed and sworn to before me at Fridley, day oL- - A.D. 19 City of Fridley, inn. BUILDING PERMIT Date: *ury r� " Owner:�,�-�-= s� Builder Address _ _ Address—.-- �OCATIQN OF BUILDING No. Street Part of Lot Lot --- Block Ad ,en or Sub -Division Corner Lot Inside Lot _ _ Setback _ __ _ _ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height _ _ Sq. Ft.—Cu. Ft. Front Depth Height Sq. Sq. Ft. Cu. Ft. Type of Construction Est C44 �40 To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ _ , permit is hereby granted Co— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions oY said ordinances. — A dg Inspector NOTICE: This permit does not cover the Construction, Installation for wiring, plumbing, gas beating, sewer or water. Be aura to am the Building Inspector for separate permits for thew home. '�-z 0�*0-0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name "� Builder Address No. LOCATION OF BUILDING of Lot Lot Hlock Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: 4 f DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. FrontDepth Height Sq. Ft. Ft, Cu.Type ?St 5 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 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. A (A Schedule of Fee Costs can be found on the Reverse Side.) Ciiy of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4.7470 DESCRIPTION OF WORK ® c�— Number, Kind and Location of Fixtures Lowiiog PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N WATER HTR. GAS ELEG y Future Fixture Opening ................ J Cj � m N 3 F- 0 LL LL O $ New Fixture Old Opening .............. x 1.00 $ Base - 3.25 $ Water Beater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ L x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st x $1.50 $ Additional Fixtures .................... x .50 2nd Gas Range to 200,000 BTU .............. x 2.00 $ IZ_ 3rd — 4th • Future Connection Openings Connected with I Sewer. El New Fixture, Old Openings Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Beater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ L x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $ �� City of Fridley: 41- The / 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. 19_ Used as To be completed about Estimated Cost, $ _ Old—New. Building Permit No Permit No. Signe ROUG — / 3 — ko FINAL 4a 2M 7-59 Business Phone No City of Fridley o 53-84-8915.51 Applicaffm for and C"s FI i®4 Pm& Dept. of Bldgs. Phone 560.3480 DESCRIPTION OF WORN 20 �E. 62 way NE. Number, Kind and Location of Fixtures Y PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater Z $200 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... ....... 2 x $2.00 $ 2.00 Additional Fixtures x $ .78 $ Gas Range to 199,000 BTU . ............ x $5.00 $ install (1) gas grill &.(1) lite 6.00 REPAIRS & ALTERATIONS --Refer to Code Description ........... $ TOTAL FEE $ 8.00 City of Fridley: 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- June 19, 1970 19_ Owner Kenneth Elven Kind of Building frame Used as residence To be completed about June 24, 1970 Estimated Cost, $ 20.00 Oldx New. Building Permit No.— _ _ _Permit No. Signe 7,p_—__ Business Phone ROUGH MINNF-4POLIS GAS FINAL _ . q` 7 o us M2 .lJF y 3m 0p • ► • N WATER HTR. GAS ELEC. Base 1st 2nd _ 3rd 4th _ ° Future Connection Openings Connected with — — e Now Fixture, Old Openingse I ❑ Cesspool❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater Z $200 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... ....... 2 x $2.00 $ 2.00 Additional Fixtures x $ .78 $ Gas Range to 199,000 BTU . ............ x $5.00 $ install (1) gas grill &.(1) lite 6.00 REPAIRS & ALTERATIONS --Refer to Code Description ........... $ TOTAL FEE $ 8.00 City of Fridley: 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- June 19, 1970 19_ Owner Kenneth Elven Kind of Building frame Used as residence To be completed about June 24, 1970 Estimated Cost, $ 20.00 Oldx New. Building Permit No.— _ _ _Permit No. Signe 7,p_—__ Business Phone ROUGH MINNF-4POLIS GAS FINAL _ . q` 7 o SUBJECT P .. City of Fridley 13'706 AT THE TOP OF THE TWINS BUILDING PERMIT ' ' R COMMUNITY DEVELOPMENT DIV. e i PROTECTIVE INSPECTION SEC. (/�f 1 . � CITY HALL FRIDLEY 55432 IL ,'� NUMBER REV- DATE PAGE OF APPROVED BY L"" 612-560-3450 910-F15 8/18/76 JOB ADDRESS 20 _ 62h _ Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 18 Fridley Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Elven 20 - 6211 Way N.E. 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 Xf7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a breezway (8' x 221) 9 CHANGEOFUSEFROM TO STIPULATIONS Provide 2" x 6" rafters or better. Use 5/8" Type X sheetrock on garage wall. Provide approved firedoor and with closer. SEPERATE PERMITS REQUIRED FOR WIRING, HEATINGa PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R-1 176 1•%60 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 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 $1,000 $•50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) VJAEN PROPERL V LID D THIS IS YOUR PERMIT l % r DATIE " SIGNATURE OF OWNER IIF OWNERBUILDER) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME : a.AI V - ?N -L i/ E.(/ BUILDER: ADDRESS Al '!�77 __ADDRESS: NO•.!! �' STREET: LOT: �O (� BLOCK: ADDITION:,�IDLE CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Oa y Front: f ` Depth: L ' Height: /o ° Square Feet • Cubic Feet • f 76 O Front: Depth: Height: Square Feet; Cubic Feet: Type��� �f�� Estimated Cost: $ 1� • 9 of Construction: Jo Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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: l Cg / SIGNATURE : `. 1&' .'" �i�, • �,��e.�_ (See Reverse Side For Additional Information.) Ecce el ,w G �) �4 ge-7?� e- .. ��4 F r G '2 r u •�-r L W I T-0 5 OF I, - %v From do desk of XASIM QUREM MEMORANDUM JF-180 CITY MANAGER'S OFFICE DATE: May 16 1983 TO Et5/20/ TION INFO SUBJECT: Flora. PW 8 MRS. ELVEN, 571-33 , 20-62z Way Mrs. Elven indicated that snowplows damaged the concrete curb in front of her house and we have done nothing to fix it. Please advise her our schedule of fixing.it, if that is our plan. She also indicated that there is an alley behind her house which is used by the adjoining property owner for garbage pickup. She indicated he had filled his property 6 feet higher than the alley, and even though they had put a redwood fence 3' from the right-of-way, their fence is continually being damaged by people who are trying to avoid the ruts in the alley. She knows the City does not maintain the alley, but if the neighbor has created a special situation---. Please look into it and try to work toward alleviating the problem. Thank you. NMQ/ms May 17, 1983 Mrs. Elven has been contacted in regards to her curb restoration. This is a bituminous curb with a few sections of sod that need to be repaired. We will repair this section as asphalt and personnel are available but not later than July. The alley is an unimproved alley. If we have some excess material and we are working in this area, we will attempt to provide some fill for the ruts without any major effort in contradiction to our unimproved alley policy. JGF/mh CC: Ralph Volkman SUBJECT P City of Fridley29309 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. i v ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 = � 1 "'1 CITY HALL FRIDLEV 51432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/27/99 JOB ADDRESS 20 62 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 18 I 1 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bridgett/Gene Perry 20 62 1/2 Way NE 572-2568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brost Commercial Repair 677 Hamline Ave N, St Paul, MN 55104 646-3500 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20107295 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 Construct an 8' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thr Blf Utlypo:Ql to 9:00 pm on Saturday; No work on Sunday. L Im8t1011S REQUIRED By LAW 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 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 1 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 $590 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR CAL LAW REGULATING CON- $23.75 Fire SC $ .59 STRUCTI NOR THE PER OR NCE OFC NSTRUCTII N PLAN CHECK FEE TOTAL FEE License SC $5.00 $29.84 SIGNAT E OF CON'RA TOAOR AUTHORIZED AGENT iOATE, EN PROPER VALIDATED THIS IS YOUR PERMIT &;- G NSP Y- aff OAff S-GNATURE OF OWNEAoF OWNER BUILDER, iDATE, NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6%V�6C;2�CL ,et% Legal Description: Owner Name & Address: 42- Tela # S2-2 -9-5-&Y Contractor: 61cs+ C& . { l0g o MN LICENSE #—Q ®to 9 s Address: 7 7 to r l Tel. S71 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width ` Hgt/Ground I Sq. Ft. OTHER: Construction Type: s Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4(r Z C- —5 e- APPLICANT: ���--� 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 $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 [ ] /99 ICON 14:59 F& [31 006 � e Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (612 Sat Apr 10 17:52:15 1999 The materials its this deck will cost $48$.23 File saved as: c:\cgdesign\decks\0000000e.DEK 3D view 72K/L. .04/12/99 MON 14:58 FAX IM004 The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (612 gat Apar 10 17:52:15 1999 File saved as: c:\cgdesign\decks\0000000e.DEK Deck Layout n �a y L 1 n V SUBJE& City of Fridley 3 0795 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. r 1 • COMMUNITY DEVELOPMENT DIV. _ r : PROTECTIVE INSPECTION SEC. 1 ; NUMB'R qEV DAT PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 4"16/00 JOB ADDRESS 20 62 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2,3 16 1 Fridley Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gene Perry 20 62 1/2 Way NE 572-2568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION fj7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (16 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 OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 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 $1 398 $.70 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 FEE $53.05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH N PROPERLY VALIDATED THIS IS YOUR PERMIT G -NSP I MATE SIGNATURE OF O� NEA.a OWNER BUILDER, aIDATEI V NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 2 ©— Z'/z U. Legal Description: Owner Name & Address: Tel. #Contractor: MN �n�ar-- �'�,�,r MN LICENSE# Address: Tel. # 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: Construction Type: Estimated Cost: $ /3 1' 4 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ bkz-4Z$'-Cw��� DATE: 01-A10000 APPLICANT: Tel. # -1 io3- S-1 Z-ZS(og Ck-,'1 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ )� .Z Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ License Surcharge $ $1100 per SAC Unit $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $�� ,CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 k 9-r/-ov APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURtS TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS -®' 6Z-11 IVpevf/ 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. Owner Building Used As Estimated Cost ��6% v PLUMBIN PERMIT NO. SIGNED BY� G1el4, !Z���'- TEL N0. <i40,7_23(Approved By Rough -In Date Final Date e' MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE CIlYOE FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 18, 2000 Gene Perry 20 62 1/2 Way NE Fridley, MN 55432 Re: Final Inspection at 20 62 1/2 Way NE Contractor: KCJ- Mr. Rooter Dear Mr. Perry: A plumbing permit was issued on April 11, 2000, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DACE JAIISEN Buildi nspector I A SUBJECT ARMIT N City of Fridley 3 2121 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. o 57� 3SO4 INSPECTION SEC.�f / r PROTECTIVE 1 � CITY HALL FRIDLEY 55432 NUMBERREv OAT E PAGE OF APPROVED BY L J` 612-571-3450 910415 8/29/01 JOB ADDRESS 20 62 1/2 Way 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1, 2 18 ridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carly & Andy Brant, 20 62 1/2 Way, Fridley,MN 55432 763-571-0836 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lifetime Siding & Remodeling, 11825 Pt Douglas Rd, Hastings, MN 651-458-0844 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIF55033 PHONE LICENSE NO. 1780 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O VIEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK KXj4U Replace existing windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking & flashing for all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $4,233.60 $2.12 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- $111.25 Fire SC $4.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE L cense $5.00 $122.60 SIGNATURE OF CON'AACTOA OR AUTHORIZED AGENT iDATE- JWHENYAOPERLY VALIDATED THIS IS YOUR PERMIT BL $-GNATURE OF OWNEA of OWNER BUiLDERi IDATE. I A NEW Effective 111/2001 ADDN(j CITY OF FRIDLEY (763) 672-3604 Bldg Insp ALTER f j SINGLE FAMLY AND DUPLEXES R-11 AND R-2 BUILDING PERMIT APPLICATION Consinx:don Address: Legal Description: 0wrw Name & Address: 4 Tei. # Contactor. / MN LICENSE # Address: Tom. # — Attach to this application, a Certificate of Survey of ft lot, with the proposed construction drawn on It to scale. DESCRIPTION OF IMPROVEMENT LMNG ARIA: Length Width I Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgVGround Sq. Ft. OTHER: Construction Type: , Estimated Costs, "V38 �® �oi�iA (fir Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ®I APPLICANT: Tel. i CITY USE ONLY- Call (763) 512-3604 for Permit Fees if mailing In application Permit Fee $ f f f . a Fee Schedule on Reverse Side Fire Surcharge $ W.,43.001 of Permit Valuation 11110th%) State Surcharge $ r:2 • /d $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $--a. Lj 0 $5.00 (State i_icensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alk "8" Above Erosion Control $ $450.00 Conservation Plan Review Paris Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary i j Not Necessary { j STIPULATIONS: ZO/T0'd S%T8SbTS9 Ol X3' an:w d0 .uio wmu SS:80 T00a-60-a3A