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PRE 2010 DOCSn U • & nCity of Fridley, Miny 1101 DING PERMIT N° 6387 Date: -I— dL'14 Owner: zt-Builder - - Address __ _ _ Address y LO TIO OF BUILDING No. �_ Street __ /_.jfz- Part of Lot Lot ._._�L...___ Block ______ Additio or Sub -Division .� Corner Lot - Inside Lot ...._.J=!-- Setback - _ Sideyard __ZZ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used / Front di c6. / Depth .16- Height Sq. Ft /,/-& cu. Ft.'23WO Fl; nt Depth _ Height Sq. Ft. Cu. Ft. Type of Construction _ _ Est. CoM-�0� o 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 seVWorth and in Tnp ce with all provisions of ordinances of the city of Fridley. / f a vv) Li � In consideration of the payment of a fee of $-QL--- : , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any tune upon violation of any of the provisions of said ordinances. _ Building Inspector NOTICE: ihb ponnh does not cover the constmction, hn►hibtion for wiring, phmbing, on headng, sewer or water. Be sore to as the BwM bm ingm for for separate permhs for these hems. V/ APPLICATION FOR BunDING PF0IIT CITY OF FRIDIEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING No. C -7n Street_a-;� ___Part of Lot Lot Block 3 Addition or Subdivisions Corner Lot Inside Lot Setback f� Side -Yard /99 SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING i Depth__ Sq. Ft. Cu. Ft. FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction C�Wlc� Ir . Estimated Cost To be Completed /C% 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. ,�� Q 4 1 (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plambing and Gas Fitting Perndt DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 9 x $1.50 $ 13.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................. x 3.25 $ Water Heater (Up to 200,000 BTU) ...... 1 x 2.00 $--2900 New Ground Run Old Bldg . ............ 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 $ 17p00 Dept. of Bldgs. Phone SII 4-7470 Location 170 - 63rd Way City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do 911 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 March 22 19 63 Owner Paul Schwartz Const Co. Kind of Building game Used as Dwelling To be completed about July 191963 Estimated Cost, $ 300.00 Old—New. Building Permit No� Permit No. ROUGH FINAL 42 2M 7-39 By AL ` 3usineffs Phone No We 8 3589 3 t3 d i 1- O �8p Z O� � Z O < J (�9 G Z • P � N WATER HTR. GAS ELEC. Base 1 1 1 1st 2 1 2 1 1 is os 1 2nd _ 3rd 4th Fugue Connection Openings ' I New Fixture, Old Openings Connected with sewer :E] Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 9 x $1.50 $ 13.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................. x 3.25 $ Water Heater (Up to 200,000 BTU) ...... 1 x 2.00 $--2900 New Ground Run Old Bldg . ............ 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 $ 17p00 Dept. of Bldgs. Phone SII 4-7470 Location 170 - 63rd Way City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do 911 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 March 22 19 63 Owner Paul Schwartz Const Co. Kind of Building game Used as Dwelling To be completed about July 191963 Estimated Cost, $ 300.00 Old—New. Building Permit No� Permit No. ROUGH FINAL 42 2M 7-39 By AL ` 3usineffs Phone No We 8 3589 AppReatim for Power Plants and Heating, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00,,-$ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00 each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace 5.00 Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ....... :...... 2.50 $ STEAM or HOT WATER SYSTEM NO RATE TOTAL 1st 3 Fixtures ...................... Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ....................... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 5.00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE 14 50 $ ROUGH It FINAL Dept. of Bldgs. Phone SII 4-7470 Location 170 - 63rd Way N. E. 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- 3-26- , 19 63 Owner Paul Schwartz Construction Co. Kind of Building Used as Dwelling To be completed about -26-63 Estimated Cost, $ .00 Old—New. Building Permit No. 2 Permit No. 3 DESCRIPTIO VOF WORK HEATING or POWER PZANTS-steam, Hot Water, Warm Air—No- Trade ir—No Trade Name Westinghouse Size No GUE-100 Capacity Sq. Ft. EM.R BTU MOM H.P. Total Connected Load 43 P 919 Kind of Fuel Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) FRED VOGT & CO. Signe HEATING By 6539 West LakeSt. WE.9-6761 St. Louis Park, Minnesota 42 zM 7-59 Business Phone No City of Fridley, Minn. BUILDING PERMIT • Date: Owner: Builder Address Address • • No 7063 CATIOWOF BUILDING No. -/—M— Street Part of Lot Lot __ Block ddition or Sub- n ..._.._� Corner Lot Inside Lot _� -&tback Sideyard Sewer Elevation ___ __ _ -- F DESCRIPTION OF BUILDING T as: 49M ;X 0Front _ Depth Height �® Sq. Ft. Cu. F 0 t Depth Height /,� Est. st�� �_ Sq. Ft. Cu. Ft. testa — __ To be Completed Type of Constructio__ 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 a ink comce with a'll provis�lons of ordinances of the city of Fridley. /� In consideration of the payment of a fee of S- 4 — , permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done around and upon said building, or any thereof, shall conform in all respects to the ordinances of 7dlY e, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings hin the city limits and this permit may be revoked at any tune upon violation of any of the provisions of said inaacce. Building Inspector NOTICE: IMM porn* does no cover t6 cona mcdon, humMon for wMh& plumbing, gas beating, sewer or wafer. Be sura to no the Building h gmftr for separate peradls for thew *ens. -APPLICATION, FOR BUILDING .PE.MPT j-. _ CITY OF FRIDLEY, MINNESOTA, OWNER'S NAME BUILDER /NTeiP-Ci'� aP a°� 13��Gdc�pS ADDRESS -&-a Y, N ADDRESS367 AlAav ",lo -�� LOCATION OF BUILDING ,No:.,176 /. ,3 f Street }�� 7 G Part. of Lot_ �t c Lot Block Addition or Subdivision Cosner Lot Inside Lot -1 -_Setback Side -Yard ,. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to; -this form Two Certificates of Survey of Lot and proposed build- ing location drawn on.these Certificates. DESCRIPTION OF BUILDING ' To be used as: a ° e Front x r s� c� Depth . �L Height / .. Sq. Ft . ,� (� Cu . , Ft. 3437-6 Front Depth Height Sq. Ft. Cu. Ft., Type of Coastruttion' . 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 rulings of the'Department.of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. -.;I _ 61 jSchedule of Fee Costs can be found on the Reverse Side). yr��3 76, AGG 24X22, P-2, 1 �4— / t, 16 " ouoa wr.,y - . I - . SUBJECTIT P NO. City of Fridley Pi17 017 AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO'. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/22/83 JOB ADDRESS 170 - 63rd Way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 1 Eva Erickson EX River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ted Rue 170 - 63rd Way N.E. 571-2842 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 eside a7 Residential- 7CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Roof can. be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Fiberglass 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 $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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $18.00 O F CONTGENT (DATE) WHEN PROPERLY V DATED THIS IS YOUR PERMIT IGNATURE OF OWNER IIF OWNER BUILDER) (DATE) DG INSp fiATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIal FOR RESIDENTIAL BUILDING PEM-11iITS (New, Alterations, Additions, or Repairs) OWNER: � �D �� � BUILDER: ADDRESS: L-1®' ADDRESS: l'ZO —b3 c,JP,-r N TEL NO: �`� ` C31 TEL 110: 1, —,J Q�q-9, Construction Location STRI=T NO: I'1 0 STREET: (-Z3 9-1-1 l.J A, -Y N � �. 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 COi-;STRUCTION Front: Square Feet: Depth: Height: Front: Depth: Height: Cubic Feet: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: S ► (C�O�►1� To Be Completed: MR3 Alt. A Alt. B Proposed Driveway Width if New Opening Is Desired: $ $ SEE MME' SIDE OF SHEET . lice undersigned hereby makes application for a permit for the work herein specified, agreeing to do.all work in strict accordance with the City of rridley Ordinances and rulings of the Delkzrtment of Buildings, and hereby declares that all the facts and represenUttiens stated in this application are true and correct. MTE: 3 SIGNATUIE Stimulations: 60 C SUBJECT PERMIT NO. City of Fridley o 19 4 0 8 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 3 1 irs CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/25/88 JOB ADDRESS 170 - 63rd Way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ted Rue 170 - 63rd Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E. , Fridley 574-9966 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 Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ING AND ORDINANCES TYPE OF WORK WILL BE $6,!)00 $3.00 WITH WHETHER SPECIE EDN EREINIOR NOT. THE GRANTING OF AOPERMIDT 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- $56.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. CHECK FEE TOTAL FEE $59.50 SIGNATURE OF CONTRACTOR OR 611THORIZED AGENT IDATEI ..r WHEN PROPERLY VA)AITED r THIS IS YOUR PER IT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG )NSP DATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 7o 93 RD LJA�Z Legal Description: Lvf 6 R Lock 3 ryA jRick-S,Al Z;OAR MAA1 Owner Name & Address: -1-F' Q J 'L E Tel. # Contractor: N «� p D /,�/i 5 / nl G S Tel . Address: 33 f R 0 r e.7 7'.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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: SAC Charge $ $ 5,5Q per SAC Unit Park Fee $ Fee Determined by Engineering Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: e4Z to w , S; 41%^iC d r9 ' ^^ Estimated Cost: $ 4�o toe;,. C> d Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: zS APPLICANT: (�/�� Tel. CITY USE ONLY Permit Fee $ �•S O Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ d • © CD $.50/$1,000 Valuation SAC Charge $ $ 5,5Q per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ S 9• SO Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: F CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes 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 connected Yes No 6. Has Total heating BTU's of C?S, 001D All other BTU's TOTAL Rema rk s Company !► �� �!! _��• ,�i Signed 1. te SUBJECT .�EJRiCA1T N ' City of Fridley 't 25541 AT THE TOP OF THE TWINS BUILDING PERMIT - r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 563 r 1 . � NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/25/97 JOB ADDRESS 170 63 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcella Buirge 170 63 Way NE 572-2466 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lonn's Construction 841 Gabriel Rd, St Paul, MN 55119 735-3753 2365 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 Reside House & Garage (Aluminum) 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 1 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 $3,925 $1.96 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. $87.25 Fire c $3.93 STRUCTION THE PERFOR ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL EE -7/z �-A� L ns C $5.0 $98.14 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT yDATEj I.5I$ R PERMIT trN/POPER�LlAT BL INSP BATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ l CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Uloni Y Legal Description: Owner Name & Address: ��/� ,(�� Tel. # 672 - Z Contractor: s ti s% MN LICENSE # 2 5 Address: O �l �S 2ie� �c% 51�� w� /� S� // 2 Tel. # 75- Attach 5Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: clld7 Construction Type: _S /G /N'� %��� cC�P,�� Estimated Cost: $ 3 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 2 Srr APPLICANT: yy� / Tel. # 7��- 3 7 S 3 TOTAL $ / � , / I/ STIPULATIONS: CITY USE ONLY Permit Fee $` Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ,/, 9 �, $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ 6 $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 $ / � , / I/ STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-01869 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/13/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 170 63 WAY NE PIN : 153024430022 LEGAL DESC : EVA ERICKSON RIVER MANOR : LOT 6 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL ELECTRICAL TO HOT TUB. # INSPECTIONS 1 APPLICANT STERNBERG ELECTRIC SERVICE INC 15246 LAKE DR FOREST LAKE, MN 55025 OWNER BUIRGE MARCELLA M 170 63RD WAY NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 5092 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. Building $ BUILDING Permit No Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-08 Curb Cut Escrow DATE �L (q . YOUR E-MAIL ADDRESS Q 06_'nJ SITE ADDRESS i 63 !` lW - G $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering THIS APPLICANT IS: WNER ❑CONTRACTOR Agreement necessary ( ) Non Necessary ( ) PROPERTY OWNER/ NAME: 330 5 Make checks vayable to: City of Fridley Attach Stipulations STATE rj� ZIPZ— TENANT ADDRESS: CITY it PHONE1 "%AG —40 NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE IsINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED lio WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: L.�1�D! W Old SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: 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 PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 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 ZR AC OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 00.0O OCCUPANCY TYPE Permit Fee $ to 5, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ A-0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 330 5 Make checks vayable 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 ction Codes; that I understand this is not a permit but an application for a permit and work is not to start without a permit on site; that the work will be in accord i e p oved plan in the case of all work which requir s r iew an pro f plans. �1 SIGNATURE OF APPLICANT PRINT NAME DATE ��/ APPROVED BY DATE Building, BUILDING Permit No. —.0035-6 Inspections RESIDENTIAL APPLICATION Received By: ' 763-572-3604 CITY OF FRIDLEY Date Rec'd: -4- - -7- 09 763-502-4977 FAX EFFECTIVE 1-1-09 DATE 2�o'CJC1 YOURE-MAIL ADDRESS R//%4 dr / SITE ADDRESS l Zo b3 ` �i �!t THIS APPLICANT IS: ITCWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: t TENANT ,1 170 V W yC ,J& CITY �l ADDRESS:: E� STATE Ah ZIP 511137- PHONE: 7k3. Ao6"t4101? .lpa' p Ong Jet I CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE—ZIP— TATEZIPINSURANCE INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS WASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE:_ IZ1 Nie cc�j-,ery�,�ry 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 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 LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ #Q 000" o 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 $ CRq .ate ..See Back Page for Fee Schedule $ +3' of 65% of Building Permit Fee $ L -00 .001 times the total job valuation $ I i ®O .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 ( ) $ p Make checks payable to: Citv of Fridlev 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 1 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 ork v hich requires review and approval ofp SIGNATURE OF APPLICANT PRINT NAME �i DATE `I 7 `` / mec N� OCR, ha6k+a6ts-- veom-s ?govkAE- \Ol UAAE �VKPVX IN 5%jwg <� - �r`�.c:� wail` t � �� t -j 112 W4, \PA4EQ- Smoc ,c 6C,4cce.S u szc� FEE � SII v���f aid ho����l c�ucFz(�( t cZrA i K8. LA 60 A J c ezr v Building PLUMBING Permit Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 41- 763-502-4977 FAX EFFECTIVE 2-19-09 DATE S - Z& -00j YOUR E-MAIL ADDRESS SITE ADDRESS I THIS APPLICANT IS: .0 OWNER ❑CONTRACTOR PROPERTY NAME: W OWNER/ ADDRESS: 17065°' ly*)y .✓Il& CITY STATE--gll/ZIP S Y TENANT PHONE: &Z CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE 'SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: PEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK 04069 �eu) BgjAaxbcQ :r47) j &S FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. ,BATH SINKILAV _FLOOR DRAINS SHOWER WATER PIPING -BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($ _ CLOTHES WASHER _ KITCHEN SINK _X- WATER CLOSET _ BACKFLOW PREV. $1 DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER z ��`�, • � � � ��`'�' t $s Y'S` yry ",; � r�`5 q�`,�''�3�� tin'.. �' .LS1�7 r �aY ''a e n '� T�' i ,�vi��t� �1 �`O'�� a'� fly �� ���,� �y4 '� �f�� -Y'� �� �+i''g'L � >. Mh�"✓"'3y y�s��.� � 4�"��?r � � � '�£'�.�a°e k � 3v-. � ! � � � `. .f � .S �ri L �, - �'g ✓M't''� �'b.��i '�°' 'S 3 � L"�i k � � S � i� Y. d d t �Z'2'?s„� �A '""Y�` -,i�f,� �y�'7- ..moi.. L" � r�{ g � uk.�' .A i 9 a? 3 ��vb',�� � t,� ; �l➢$��� � � S�'g ; �i � ��z � L,,� P Nf . S s Y vr� {. - M" �� -r?N � n, t .yea '�. ��� � �� �` '�➢� � T{" 4L � C,a 3`^' %�;� {^) a� i8� d THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 a of all pork which requires review and approy I of plans. 7-01 SIGNATURE OF APPLICANT PRINT NAME Cf P, DATE / City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977