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PRE 2010 DOCSCity of Fridley, Alinn.. BUILDING PERMIT N°4 9 5 Date: Owner: Builder Address _ _ Address LO TIO OF �B,U�ILDING No.AVIStreet -� F yam# Part of Lot Lot _ Block __�_ _ Additi;7o; Sub -Division Corner Lot ._.._ Inside Lot __ _ Setback _ Sideyard _ A Sewer Elevation ____ — Foundation Elevation DESCRIPTION OF BUILDING T}e used0 /j, �j d Front — Depth Height _ Sq. Ft. `^'r.� Cu. Ft. 02Z /90 Fro t Depth H ght Sq. Ft. Cu. Ft. _ _ Type of Construction M�i �rie,�c.[L� Est. Co """rr. To be Completed — In consideration of the issuance to me of a permit to construct the building described above, I agree to do the== work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. At In consideration of the payment of a fee of $� , 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 time upon violation of the provisions of said ordinance. . .a Building Inspector NOTICE: This permh does not cover the construction, kwaffation for wMng, plug ibkg, gas heating, sewer or wafer. Be sure to an the Buildtag Inspector for separate permits for these hem& APPLICATION FOR BUILDING EE'RNIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING Street_ a 3 �1 G , G Part of Lot /� � Lot Block Addition or Subdivision i Corner Lot Inside Lot t Setback � Side -Yard /0 , SEDER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: Sq. Ft. DESCRIPTION OF BUILDING Height Z Cu. Ft. Front epth Height Sq. Ft. Cu. Ft. Type of Construction j 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. �,�P .� 0. INMRT A TTMW -IL., . � � • /��/t (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley ; v Application for Plumbing and Gas Fitting Permit f Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... 7 x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin ............................ x 3.25 Water Heater (Up to 200,000 BTT) ...... x 2.00 New Ground Run Old Bldg . ............ x 3.25 Location 182 - 63rd Way City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do $A 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. August 18 _ , 19 61 owner Paul Schwartz Const, Co Kind of Building Frame Used as Dwelling To be completed about November 15,1961 Estimated Cost, $ 800.006 Old—New. Building Permit Nod.' ?' �✓ Permit No.-440942t- TOTAL o. 44094 TOTAL STANDARD PLUMBING A APPLIANCE CO $ 10,50 Signed_ $ By - us $ Bin s Phone No��589�� $ 2,00 e7� $ ROUGH 7V FINAL 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL, FEE 42 2M7-59 0 WATER HTR. o- I "I 53 <3 �'d �d �O R N GAS ELEG Base 1 1 1 ist 1 1 1 1 1 i osal_ 2nd _ 3rd — 4th -H • Future Connection Openings Connected with Sewer :K] New .Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... 7 x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin ............................ x 3.25 Water Heater (Up to 200,000 BTT) ...... x 2.00 New Ground Run Old Bldg . ............ x 3.25 Location 182 - 63rd Way City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do $A 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. August 18 _ , 19 61 owner Paul Schwartz Const, Co Kind of Building Frame Used as Dwelling To be completed about November 15,1961 Estimated Cost, $ 800.006 Old—New. Building Permit Nod.' ?' �✓ Permit No.-440942t- TOTAL o. 44094 TOTAL STANDARD PLUMBING A APPLIANCE CO $ 10,50 Signed_ $ By - us $ Bin s Phone No��589�� $ 2,00 e7� $ ROUGH 7V FINAL 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL, FEE 42 2M7-59 Application for Power Plants and. Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dep:. of Bldgs. Phone.SU 4-7470 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 170,000 BTU ............ 8.00 $__8 —.0-0 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 Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR 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 $ Tnn 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 Plan R-1 On file FINAL Location 182 - 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, to 9-11 , 19 61. Owner Paul Schwartz Construction Co. Kind of Building Fro Used as Ree. To be completed about 10-11-61 Estimated Cost, .00 Old—New. Building Permit No. Permit No. 10 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No- 1 Trade Name Westinghouse Size No GLE-100 Capacity Sq. Ft. E.D.ft 10()BTU H.P. Total Connected Load -45,631 Kind of Fuel- Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed FRED FOGY & Co. HEATUar' & AER CONDITIONING By 4600 West Lake 51. - WE. 9.6767 $t,uis Park, Minnesota �a� ,4z 2M r -s9 Business Phone No 0 m Stories I c z m 3 A 7 m F Basement lot 2nd 3rd 4th Permit for PLUMBING AND GAS FITTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., yk.bUUWK1Vn Ur WUHK Number, Bind and Location of Fixtures 13 I I I l I I tl1 F O ft.I N O O U m JC E Y. O Connected with Sewer -Cesspool O I WATER HTR. e GAB IELEC. Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hereto attar upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date A „ N° 5040 Fee $$ t,,• p 0 City of Fridley -1 .19-6-9 Owner n-1 m J-0 a 4 E5 Location N Kind of Building �Q� f1'1 Used as d Lo E L u&J C To be Completed D Estimated Cost $ 1,7s-'00 Old- ew. Building Permit Date Inspector. Inspector of Buildings. •z 1M -6.69-V City of Fridley PR for N=Mm and F Dept. of BldgiL Phone SW -3430 DESCRIPTION OF WORK Number. Kind and Location of Fixtures '^ U' WATER HTR. O P N GAS ELEC. - — - - - -- Bas3 4th _ A- i'ukure Connection Openings Connected with — --- --- '� Now Fixture, Old Openings I Sewer Cesspool 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 oP Buildings, hereby declares that all the Pac9 and rep tations stated in this applies 'o a�+e tru d correct. { Fridley, >yfini�. Building Used as To be completed about PARTIAL RATE SCHEDULE ated Cost, $ PLUMBING FIXTURE RATES: NO. RATE TOTAL Old ew. Building Permit 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 $ 5 New Ground Run Old Bldg. x $3.25 $ Electric Water Heater = $200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... .... .. x $200 $ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description.................................. .............$ TOTAL I ; ROUGH FINAL zI - `Z - 7 C) 0 0 Foo SUBJECT PERS _ City of Fridleyn r i 9 AT THE TOP OF THE TWINS BUILDING P E R M r REC i �• __ COMMUNITY DEVELOPMENT DIV.q ' � ---- v PROTECTIVE INSPECTION SEC P� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/13/97 JOB ADDRESS 182 63 Way NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roberta Jones 182 63 Way NE 574-9123 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. QSI PO Box 49116, Blaine, MN 55449 425-9576 20060493 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 O ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) Tear -off; Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $2585 $1.29 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 9 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- $74.75 Fire SC $2.59 STRUCTION OR THE PERFORMANCE ONSTRUCTION. PLAN CHECK FEE TOTAL FEE r License SC $5.00 $83.63 SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIWHEN PROPER VALIDATED THIS IS Y IR PERMIT - BLAG W$p gATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI Foo NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION I / Effective 1/1/97 Owner Name & Address: /jam® & e4- Tox J� Tel. # Contractor: �' MN LICENSE # o'? oo eao y93 Address: # 4lo7S = 7s741 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: " '. - _� ,C/ j_ _ - - A /.� '/ nn I n Construction Type:_ O �b4p?e. Estimated Cost: `p oo .S (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: �� Tel. # STIPULATIONS: CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ J - S9.001 of Permit Valuation (1/10th%) State Surcharge $ 9 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ S-06 $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: Building PLUMBING Permit No.: bb - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DaMl DATE August 3. 2007 YOUR E-MAIL ADDRESS wnelson0larsonplumbina.com SITE ADDRESS 182 - - 63 Way NF_ THIS APPLICANT IS: ❑ OWNER ®CONTRACTOR PROPERTY NAME: Roberta Jones OWNER/ ADDRESS. 182 - 63 Way NE CITY Fridley sTATEMNzIP 55432 TENANT PHONE: 763/228-6200 CONTRACTOR NAME: Larson Plumbinq, Inc. STATE LICENSE # 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448 APPLICATION PERAM TYPE IN SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK.ElNEW 00 REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 1613-665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x ,05 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS —SHOWER WATER PIPING _ —BATHTUB GAS PIPING owo cmucExs4 _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY :KWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER v i .4 . �'!• r: j:2 :f,. ..•t3. "b!+✓i e '1i:'!4:i::.. .._. /1 F: 0?� r :TEC .S Sfln • F :• ... .,,'.... .: .. ...... .: .............:.�... r.. .... .v.. ... ...5. .. J.... "'Fl•. ::`U'':�'s::?$iY.�:'."x.y r7a':.4 Rs$:�0.0 `: Permit Fee $ 35 00 Number of fixtures @ $10.00 x $10.00 = $ Surcbar e .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ — 5 .50 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 c"e ,t' at] wo c wh' b requires eview and approval of plans. SIGNATURE OFAPPLICA PRRftNAME Michael Malinoski DATE 8/3/07 A. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977