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PRE 2010 DOCSCity of Fridley, BE BUILDING PERMIT N° 5336. Date: Owner:' Builder — Address — Address — �LOCAT ®N OF. BUILDING No. Street — Part of Lot ie Lot __ Block . _.__ A tion or Sub -Division Corner Lot ._,._ Inside Lot Setback Sideyard Sewer Elevation____ Foundation Elevation DESCRIPTION OF BUILDING T Used Front Depth Height Sq. Ft' 47 AW AT Cu. Ft' Front Depth Height Sq. Ft. AW Cu. Ft.� Type of;, nstructioa k �' Est. Cost - �'..;'fo be Completed -� 4011- 17 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 2= 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 withinancese. city limits and this permit may be revoked at any` e�p violationordino of the provisions of said wilding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sexier or water. Be sure to we the Building inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Is �c �L Owner s Name L ��uilder Address Address :r a LOCATION OF BUILDING No. / 7/ Street Part of Lot Lot Block / Addition or Subdivisionv��,_, Corner Lot Inside Lot X Setback -_�-�"Q " Side -Yard SEWER ELEVATION FOUNDATION ELEVATION f 3 19-& Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING T1or%+h 0,/ / Rai oht Sq. Ft. Cu. Ft. --�� Front 1--2 ' o /' Depth ,2 d a Height / D Sq. Ft. Cu. Ft. Type of Constructions' 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 ruliug.of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE_ (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and. Heating. Cooling. Ventilation. lefrigm ation 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. 80,000 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 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. 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 $ 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 $ 14AL50 ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 Locazsioa 171 -B"r Wa,Y 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, Alinn 66-4-61 „ 19 Owner PAD -1 fthw"tz G^A33Struet, onft, — Kind of Building Fr. Used as Res. To be completed about 7-27-61 Estimated Cost, $ 450.00 Old—New. Building Permit No. Y� Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name W__ .-Ouse Size Neje 100 Capacity Sq. Ft. E.D.R l00M 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. Plan R-1 (REMARKS—OVER) Signed By FRED V001 HEATING A AIR CONDITIO.IdAki 48 2M 7.59 Businesss6ftn take—Sf. . St. Louis Party Minnesots City of Fridley SUBJECT AT THE TOP OF THE TWINSBUILDING PERMIT rRECEIPT 7NO. r • COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 i ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-1F15 10/14/83 JOB ADDRESS M 171 - 63k Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Eva Erickson River Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Lorbeski 171 - 63k Way N.E. 571-2878 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 1 8 CHANGE OF USE FROM TO STIPULATIONS pp�� i.� 11 Ag Provide fire alarm. m v 1 signvm on `113 W - 01810313 - 3NON0131 "0111 In 123011123 2UMIP ajops SEPERATE PERMITS REQUIRED FOR WIRINU )nun HEATING. PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP, OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 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 $15,000 $7.50 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- $110.50 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 27.63 $145.63 NATURE OF CONTRACTORO UTHORIZEDAGENT (DATE) WHEN PROPERL L ATED THIS IS YOUR PERMIT s _ � lv f GW AI OF OW RI W R UI.DERI (DATE) BLDG iNSP 16ATEt C17Y OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERv1ITS (New, Alterations, Additions. or Repairs) OWNER: -;Td(f ,0 (r BUILDER: ADDRESS: ,� I' (D�� la 1,�2f�� JU •� . ADDRESS: TEL NO: TEL 110: o -y Construction Location • STREST NO: 1 STREET: t LOT: p _ BLOCK:. ADDITION: Corner Lot: Inside Lots ,. Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO' OF CONISTRUCTION qUA-O Front: o,' Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: quare Feet: Cubic Feet: _ Type of Construction: Estimated Cost: S J ® GT 7b Be Ooripleted: � Alt. A Alt. 8 Proposed Drivetiiay Width If New Opening Is Desired: $ $ SEE PEVF.R;I; SIDE, OF SHEET 9i:e undersigned hereby makes application for a permit fcr the %:,ork herein specified, agreeing to do .all work in strict accordance with the City of Fridley Ordinances and rulings of the Delhirunent. of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATUIS : Stipulations: 1."L' wo"C� ra- r e�. VN 1 t .T S e�. VN 1 J-- I M A e� ti � �,x I , ! -P-' SUBJECT City of Fridley 3 0071- AT THE TOP OF THE TWINS BUILDING PERMIT Cl�l `v __-__ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ' 612-571-3450 910-Ft5 8/17/99 JOB ADDRESS 171 63 112 Way 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED OESCR. 6 1 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul 4 Tammy LedfordS71-17117171 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION XR9 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (20 S) 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 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 $1748 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.87 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- $63.15 Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION /SC $1.75 PLAN CHECK FE TOTAL EE $6 .77 NATURE OF CON- ACTOR OR AUTMO tZEO AGENT IDATEj Os EN OP D T § IS Y R PER -G NATURE F Ow ERdF OWNER 40ERi iDATE, BLD INSP MATE NEW[ ] Effective 5/10/99 \ ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 n BUILDING PERMIT APPLICATION \ 1 Construction Address: KY— Tr \-61ej-A , WK) 55q bcg Legal Description: Owner Name & Address:�Q_ 01 S �� Pay l ��c�,111t1 el. #() 511-c7li� Contractor: ownef 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. R. OTHER: e10 ('m� V)CN-r-'a a 01 _'W;y' r An So, / f % /? `(J Construction Type: Driveway Curb Cut Width Needed: Estimated Cost: $ / I U Ft. + 6 Ft = Ft x $ � ' • ' ' � Ill l•1 1 + �ir�i.� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ (a /S Fee Schedule on Reverse Side a� 159 Tel. # c �a 5-1 i -01°1© .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 [ ] -- - - -- . .\. LPL -G- I 1190rCV I IVIV UI V. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 Stories Bas Floor 1 ..:....:..... :. _ .,. -r :-<; :�;.. .., Uri nal •--•�•��� ••V1111L7Gf� Vr MAI UMCO >�<:}::>�. .,.,:}}•.};}:f:�:> Wash :.}< `i��::::<..; Shower Tra I tit INSIALLED ME F Floor Drai n ON EACH �.E.i>}}:�::: '< .' i"Eement:.}:::>�. FLOOR Auto. :::::::: s:::;<: >::::'• F�vr:-.::,..::..:>r:r.;lt3f<<`: :.f>::,::: Washer Iti . -. >::-::: Gas Range <<:.:n�{ tY:>'<. Water Heater }}v,�:<{: >: ;< Gas :� . ec Floor 2 Floor 3 Floor 4 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'* NO. RATE TOTAL JOB ADDRESS_ _--2IY4,f—, A5W A� ,CZ d ewJ Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 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 1--M TOTAL FEE s 20.60 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 MONTANO, MAGDALENO � / � 2-C)o 1 171 63RD 1/2 WAY NORTHEAST FRIDLEY, MN 55432 Owner _ (763) 502-9195 Building Used As__ n? S % 441-7C — LIA Estimated Cost w Too ll PERMIT NO. PLUMBING COMPANY Q �6LC7%� PL-0malAi SIGNED BYEL N0. 6j2 OZ G' 10 -.. 14� Approved By Rough -In Date Final Date "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.