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PRE 2010 DOCSN° VinagB 0f Mmey, Hinm BU I WING PERMT 32 Office of INSPWMB of BUMD]INGS Fridley, Minn. LOCATI N OF BUILDING Street is'.+_ . Part of Iot�. BIoek Addition or Sub -Division DESCRIPTION OF BUILDING Front D th Seight Stones] er of Consiructio9�. TO be used ��_.e� `1 To be completedrr'� sFEEstimated permit is hereby granted to=cr;t'n..to. the buildin described in the above statement. This permit Is granted upon the express condition that the person to whom it to granted, and his agents, employees and workmen, in all the work done around and upon said building, or any part thereof, shall conform In all respects to the ordi- nances ,of r, Minn., regarding the., construction, alteration, maintenance, repair and moving of buildings within the city I mits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ..a.� •w =`^,�pector of Buildings. AGREEMENT AND, SWORN STATEMENT In considf ration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above per t, I hereby agree to do the proposed work in accordance with the description above set fo and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I here y state and say that the facts stated by me and contained in the above permit are true as the stated. Subscribedlifind sworn to before me at Fri ey, Minnesota, th1 day. ��r _ r o �. 1S 53-84-5915.51 City of Fridley Application for Phnnblng and Gas 111111"in9 Permit Dept. of Bldgs. Phone 9®0-3450 DESCRIPTION OF WORK Location. -1054 N E 64th Ave Number. Kind and Location of Fixtures • Future Connection Openings I wna.cia .nra * Sewn Now Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $100 $ 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........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures ................. . Gas Range to 199.000 BTU ............. REPAIRS A ALTERATIONS—Reftr to Code x $3.25 $ : $2.00 t NO. RATE TOTAL x $2.00 ; x$.75 $ 1 x $5.00 ; 5.00 Description ........................................... -$ TOTAL FEE ; 5,00 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 10-23-70 Fridley, W— 18, Owner Ray Baker Kind of Building xmg frame Used as res To be completed about 10-28-70 Estimated Cost, $ 10.00 Old—New. Building Permit o. PSBl it No �d Signed By�'��'�}h�i4�6�,eb9�8 Business Phone No ROI10H FINAL � �/.S," - i 8111MMMMM 1, 11m,m, ................ • Future Connection Openings I wna.cia .nra * Sewn Now Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $100 $ 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........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures ................. . Gas Range to 199.000 BTU ............. REPAIRS A ALTERATIONS—Reftr to Code x $3.25 $ : $2.00 t NO. RATE TOTAL x $2.00 ; x$.75 $ 1 x $5.00 ; 5.00 Description ........................................... -$ TOTAL FEE ; 5,00 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 10-23-70 Fridley, W— 18, Owner Ray Baker Kind of Building xmg frame Used as res To be completed about 10-28-70 Estimated Cost, $ 10.00 Old—New. Building Permit o. PSBl it No �d Signed By�'��'�}h�i4�6�,eb9�8 Business Phone No ROI10H FINAL � �/.S," 97-8b-416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Ol k4gg1 tl1 U 0 W RATE W E 3 q w y py lpa, fa 14 8 C .roCI U W o a C7 w U{ £ 0 rp C7 0 Water Heater $ 1@C Ban - $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x' $5.00 $ GAS FITTING FEES: - 1st 3 fixtures 1st $ Additional Fixtures x $1.00 ir sta 11 gr' 11 First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge 2nd $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($10.00) 3rd 4th (R) = Future Connection Opening (*) = New Fixture, Old Opening Connected with Sewer Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x' $5.00 $ GAS FITTING FEES: - 1st 3 fixtures x •$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $1:0.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($10.00) Job Address 1054 64 AVE. NORTH EAST Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 5-95-77 , 19 OWNER CURT SWANSON RIND OF BUILDING fraa9 USED AS res. TO BE COMPLETED ABOUT 6-1-77 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT N0. 0 `f'4v Company MINNEGASCO Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Glass "A" Surcharge .500 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAIM AIR: RATE TOTAJ. ,7ob Address FFurnace Shell & Duct Work X$12,00 § ' R.e?lacer-ert of Furnace 7+00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of B%;i14ngs Rc:airs & Alterations each add. $500;00 4.00 $City of Fridley P Tel. #571-3450 MECHANICAL WAP -M AIR: The undersigned hereby makes application for a permit for't:e u-1rk here:L-% Furnace Shell F. Duct Work, to 100,000 BTU .712'00 $ specified agreeing to do all work in strict accordance with the City Ccdes ea.='. add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all _:e 'R,place`.e:t of Furnace 7.00 facts and representations stated in this application are true and correct. Peoairs r. Alterations -up to $500.00 7,00 $ R.a?airs & ;,lterationz each add. $500.00 440 § Fridley, Minn. Str-_d OR IM' i YTER SYSTF is 0 -SER � .tel!'Y�%� A. Z®1 Boiler &Lines up to 100,000 BTU 512.00 $ }02ND pF BUILDING �9 each actin. 50,000 BTU BO;! _r Only up to 100,000 BTU 4.00 7.AQ $ $ TJSER AS Jldiz each ade--i. 50,000 BTU ^ /0 TA $Y P_0tM ZTPq ?�gouT OIL BU;U;ER- to 3 gal. per hour $lQ.RQ � each add. 3 gal. per hour ?R: AR S RsTT�TRR MT Uwe) �® cas BURNER- frcm '.00 ,000 BT o 1 ZU . 1j!j;R R� Sl A: AR I CU $�_ c RSR RR'q RATRT?`I• F.T:R,�TT rlcj. Psi:TT NO. (over 199,999 BTU see see Sc}�eule; S GAS FITTI:"v FESS:. ist 3 Fixtures x S .RQ 7l $ 3r.._CSv RYaCR;PTION RF FUF.\ACE/BURNzR n_'Sitional :ixtures Gas Fange to 199,OQQ BTU x �R;AR 't"�NUi AF FpYJP#i ?TANTAr S#e4,1r pr V?4zarr S,arsE Aid- too. . AN CONDITIONING STE SSSSee Trade NaVA z Size No. 1162646 --ib 6222 ,R. ,0 Fee Schedule VENTILATING SYSTEMS $ $ � AL:E?�TiQtiS RE?AIRS $ Capacity Sq. Ft. EDA 34-U IMM State Surcharge S .50 Total Connected Load Kind of Fuel • TOTAL FEE $ o'c.'. SZ1 BURNER- Tr.de NaWe = Size No. �(� 5� flo P3U^3 Z.*ISP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU Ii9 Date L$10.00j _ IM"AL IIS?. Date •. � Signed By AP2?zl ,L FOR PERMIT /� 1 , t C Tel. No. 2�►:.Z: ' : c cE FOR ANY IiF1 TING PEMIT IS $7.50 pLUS ' $. SO STATE SURCHARGE °Attac'rcd stack verification fors -A-a,% ,� `— STATE OF MINNESOTA DEPARTMENT OF HEALTH I. LOCATION OF WELL - County Name ANOKA ABANDONED WELL. RECORD LA o MINNESOTA UNIQUEWELL NO. (leave blank if not®) Township Name FRIDLEY Township Num N Range Number E Section No. rection "Is k of k 4. WELL DEPTH (completed) Date sealed 30 S 24 W 13 S NWSW G® ft. Vmm— G' 3L SDS Numerical Street Address and City of Weil Location or Distance from Roo Intersection 1054 64TH AVENUE S. DRILLING METHOD (if known) Cable tool 40 Reverse 7[] Driven 100 Dug 20 Hollow Rod SOW ti[] Bored 11[] 30 Rotary 60 Jetted 90 Power Auger Show exact location of well (in section grid with °X`) Sketch map of wel dation _ L . _ _ . _ _� 6. OBSTRUCTIONS Well obstructed 0 Yes No Obstructions removed Yes C] No If obstructions cannot be � removed. contact MOH E ,T` 70 ` ° y .,;, ' ®� before sealing. 7. USE Domestic 40 Monitoring 80 Heat Loop _ I 20 Irrigation 50 Public go Industry $ IL WE'LL 1 .,Z E. 3[] Test Well 60 Municipal 100 Commercial 7[] Air Conditioning IIC] 2. PROPERTY OWNER'S NAME CURT SWANSON ing Address if different than property address indicated above 1 0 5 4 6 AVE. VE . IDLEY, NN. 55432 8. CASING(S) Black 4 Threaded 711 1 zO Galy. ;V Welded 30 Plastic 6[] Stainless Steel 3 in, to 5 7 ft. in. to ft. 3. FORMATION LOG N FROM TO If not known, indicate formation log from new well or nearby well. SAND BROWN -6 20 9. SCREEN creened well from �'I ft, to -.a ft. (If known) � Open Hole from _ ft. to _ it. CLAY BRO 2 0 6 0 FINE SAND GRAY 60 190 10. STATIC WATER LEVEL 19; jt. below ❑above iand su ce Date Measured SHAKOPEE,DOLO. PINK 190 225 11. WELLHEAD COMPLETION 10 Pitless Adapter 4[] Found Buried Basement offset 30 Well Pit 16. REMARKS, ELEVATION, SOURCE OF DATA - CASINGS REMOVED, CASINGS PERFORATED, ETC. GEOLOGY WAS TAKEN FROM THE WELL AT:*� 6537 CENTRAL AVE . , FRI DLEY, MN . WATER LEVEL IN THE ABOVE WELL: 45' 12. GROUTING INFORMATION Neat Cement 20 Bentonite 30 3 BAGS yy� Grout material PORTLANDfrom 6 0 toSURF au. yds NEAT GROUT DATE WATER LEVEL WAS TAKEN: 2-29-46 13. NEAREST SOURCES OF CONTAMINATION ZQ— feet N direction r T TV SFNER type Well disinfected before sealing? Wfes �► 14. PUMP ARemoved 0 Not Present Type: 1[] Submersible 30 L.S. Turbine 50 Reciprocating Jet Q[] Centrifugal 60 15. EXISTING WELLS (Please sketch locations of abandoned and FEB6 INR active wells in remarks section or on back.) Other unused woll(s) on property? [3 Yes �NO Abandoned: [3 Permanent 0 Temporary [3Int ?sealed 17. WATER WELL CONTRACTORS CERTIFICATION 1 h A L IE030"D This well was sealed under my jurisdiction and this report 40E3 is true to the best of my knowledge and belief. According to MN State Re da® E.H. RENNER & SONS,INC. 71015 15568WenY gygT'J Nag,. N•W• License No. AddWvK RIVER MN.55330 427-6100 U-� STEVE FA IN 1 Data Name of Driller FFICiAL ABANDONED WELL RECORD (May be used for Property Transfer) XJUICRrAmr= PILE Yan Dmw KEVIN HOPPE . N a SUBJECT City of Fridley 23473" AT THE TOP OF THE TWINS BUILDING PERMIT i RE � � • COMMUNITY DEVELOPMENT DIV. ______ ~ PROTECTIVE INSPECTION SEC. r 1 � 43LS27 NUMBER REV DATEPAGE OF APPROVED BY /-'-S CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/20/95 JOB ADDRESS 1054 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Moore Lake Highlands 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lori Wirth 1054 64 Ave NE 572-3877 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Paradise Construction 5853 Fairfield Rd, Mound, MN 55364 472-1700 20014209 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 f REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (26 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 $1,950 $.98 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 $45.00 Fire SC $1.95 PLAN CHECK FEE TOTAL FEE License SC 5.00 52.93 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR / BLDG IN P ERL ALIDATED THIS IS YOUR PERMIT GATE S.GNATUREOF OWNERoF OWNER BUILDERi IDATEI . N a CITY OF FRIDLEY TEL: 612-571-1287 Jun 8,95 12=23 No.002 P.02/05 N'W i 1 Effective 1/1195 • ADDN ALTER � (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ) � �� Building Permit Application Construction Address: r— Legal Description.. _�� Owner Name & ddress:Q Tel. #`_ %v<�977 toritraccto�:IVIN I.IC'F.NSf? # Address:.� !%�...��1. A16 .. .._. Tel. # 712— 1 J® Attach 'to this application, a. Certi fieste of Survey -of the - . lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width _ Height Sq. int. _ _, , GARAGE ARRA: Length Width Height Sq. Ft. DUCK • _ DECK AREA: Len th Width _ _ H#1 IG OTHER: Corner Lot [ j Inside FAA (1 F . Yd S ck Side Yard Setbacks Type of ,onstruc�tion: //s<ia _ ~T.s�timated Cost: $ - r Approx. Completion Date: S �� (Cost on Back) ' Driveway Carh Cut Width NetAed: PL. + 6 Ft = Ft x DATE: _ —_ APPLICANT: _ Tel. #_ -- Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ r .00 $ S Sewer Main Charge $ _ TOTAL STIPULATIONS: S CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 valuation $850 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 ( j SUBJECT City of Fridley 23498- ZRI AT THE TOP OF THE TWINS BUILDING PERMIT Ir PT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC �� 1 NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 6/29/95 JOB ADDRESS 1054 64 AVENUE NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Moore Lake Highlands 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lori Wirth 1054 64 Avenue NE 572-3877 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hoyt Construction 321 W 83 St, Bloomington MN 55420 884-4338 2433 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 a_ ALTERATION ❑ REPAIR ❑ MOVE El REMOVE X 8 DESCRIBE WORK Replace windows in house 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must comply with the State Egress Code. Provide smoke detectors by each bedroom. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 @@ $7,400 @ $3.70 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- $198.00 Fire SC $7.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $214.10 SIGNATURE OF T RACTOR OR AUTHORIZED AGENT (DATEI EERMIT WHEN�PROPS Y VALIDATED THIS IS YOURR, /// ABL G )NSP BP OATS SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) THE HOYT COMPANY 321 W,- 83RD ST. IIAINNi=A0®1110 NitNN , . Skov I 155420 �, (612) DATE �. CONTRACT AND GUARANTEE ( / WNER) Name of Owner - L Job Address �' '%' �_ c r . Residence Address - -�!' '-' C _ City of a> ' '.��___ Zi Phone (H) -;F (W) Ayy" S O%30 On or in the 'bailtring at the above address. THE HOYT COMPANY, agrees to furnish and Install the following materials a wel GUARANTEES to the +work In a workmanlike manner in accordance with standard practices, according to the follows speciflestions: i I r rr - __L4n -- . Any work none at the request of the owners and not specifically listed herein will be charged for as an extra, The owner(s) agrees to pay for the above work, complete as specified.- -rr Total Cash Price $�_/ Cacr [;,o%-,,, paYm9nt JiI tra.r`inlo Au -1 r_ r he;;r r n a`I fl y, Lei _rJralb t_r'�:f �' --r - F„' F�.-, .r.r �� y 11Li� t Irir. . d 3C 'h `'72 �'t5 ode i5'T. N d. .'rP !r.-yn ri B Y1 v -"k „,� .pr, Y �,1QJr . �'.'`K' P'• w �+'G'4. Ei,1 '..'7 ,'C qjV, -TSL z11 ;0 �, .� e -v lErf f� 8 h •" 'C lect.tr 7l, Fu _Far G err e7 -ate �e� peB, w -Alto dowr' paten tint i qE "VE E �iF MINNESOTA Unpaid 6010161ce of C*ah price '. s �J 'dC-M:i- Of &f4RdJ9 ff`il^ /t1p IrTi F^�7rr�.+li'italli of *&I proper1 +Tiaj !O a+j a^c if hh?ey .are not ,741-! Icr 'the,'- co riN+h! frnrrg P fa- f s,,ch Oih *- 0.:46raoa - r - rctt ar 'alatOrr6h!L'' Wth rrO Owners d i . _ : , ,w 1w "3 WifhhQ1(1 OLY-t FY- LOF_t"19Cf0r MJ f"LiCh Of ,rr7Q ,OlffACt pace kC. `r -e `'ape 'he jor77ancys gf 311 Otf-e� ! y ^la:l' ants pay dI ectly 5"h lilqr7r •'� �: -..� rh- _eta P �,� A .n. 6 fn�,nr, arl.'X Farr r,s , nrraotpr 1« r - .,rp cve'TF�r ur1P5� , . Skov I 155420 �, (612) DATE �. CONTRACT AND GUARANTEE ( / WNER) Name of Owner - L Job Address �' '%' �_ c r . Residence Address - -�!' '-' C _ City of a> ' '.��___ Zi Phone (H) -;F (W) Ayy" S O%30 On or in the 'bailtring at the above address. THE HOYT COMPANY, agrees to furnish and Install the following materials a wel GUARANTEES to the +work In a workmanlike manner in accordance with standard practices, according to the follows speciflestions: i I r rr - __L4n -- . Any work none at the request of the owners and not specifically listed herein will be charged for as an extra, The owner(s) agrees to pay for the above work, complete as specified.- -rr Total Cash Price $�_/ Cacr [;,o%-,,, paYm9nt JiI tra.r`inlo Au -1 r_ r he;;r r n a`I fl y, Lei _rJralb t_r'�:f �' --r - F„' F�.-, .r.r �� y 11Li� t Irir. . d 3C 'h `'72 �'t5 ode i5'T. N d. .'rP !r.-yn ri B Y1 v -"k „,� .pr, Y �,1QJr . �'.'`K' P'• w �+'G'4. Ei,1 '..'7 ,'C qjV, -TSL z11 ;0 �, .� e -v lErf f� 8 h •" 'C lect.tr 7l, Fu _Far G err e7 -ate �e� peB, w -Alto dowr' paten tint i qE "VE E �iF MINNESOTA Unpaid 6010161ce of C*ah price '. s �J 'dC-M:i- Of &f4RdJ9 ff`il^ /t1p IrTi F^�7rr�.+li'italli of *&I proper1 +Tiaj !O a+j a^c if hh?ey .are not ,741-! Icr 'the,'- co riN+h! frnrrg P fa- f s,,ch Oih *- 0.:46raoa - r - rctt ar 'alatOrr6h!L'' Wth rrO Owners d i . _ : , ,w 1w "3 WifhhQ1(1 OLY-t FY- LOF_t"19Cf0r MJ f"LiCh Of ,rr7Q ,OlffACt pace kC. `r -e `'ape 'he jor77ancys gf 311 Otf-e� ! y ^la:l' ants pay dI ectly 5"h lilqr7r •'� �: -..� rh- _eta P �,� A .n. 6 fn�,nr, arl.'X Farr r,s , nrraotpr r - .,rp cve'TF�r ur1P5� :^" vnll,c �r -, ,.�..Jec� trF CWr: Nr Y' :9t, tO -13931d5 fp pBffofPYF,frr':e of PhF ltl OCub� :f-ET:A?E�� "O anv ;3N1fln .r 1:71_ 4 or Stfd1;.rii;-,3 Ji W'phr7 �l_w hi.Ga^s f 117 PROF PCS P77rO 'rp`r, ._ ' t^o fr-,r r h�$rnP55 9=.`06GP Cf __CjrL' Na!f!D` ,.,_Py ,c _ fir' r- ip,e"13fil-n ooyC tit S =t! 1-1091ehy ack -,.341P09011 {q ]Wr,er ACCEPTED Credlt life inausance Amount financed FINANCE CHAFICIe _ - -- ANNUAL PERCENTAGUF RATE Totai of payments jP deterred payment price THE HOYT COMPANY __2- —Al Fk 940011P I WAW Ai -L Pte! IECKS PAY®Ri r- rtn -y wr w^i NEW [ ADDN [ ] ALTER (] Construction Address: Legal Description: Owner Name & Address: Contractor: Ayr Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application A[ 054 Effective 1/ 1/95 1 Tel. # cr rtW- `? e 7 �' - MN LICENSE # c�, Y�?�? U t iPSS(/O A "AAel. # (1 L? 6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width JH#t/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setback, Type of Construction: W 0 0� FA,40AO Estimated Cost: $ ( , A(D , Approx. Completion Date: �0 'r) P - ?,F (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, _ $ DATE: APPLICANT: e Tel. #�'� ^33� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ /??, Co Fee Schedule on Reverse Side $ 7 qb .001 of Permit Valuation (1/10th%) $ �? $.50/$1,000 Valuation $ _ $850 per SAC Unit $ S • C) $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 [ ] $ q.10 v STIPULATIONS: / �G ,� 01, SUBJECT P City of Fridley 29617 AT THE TOP OF THE TWINS BUILDING PERMIT -REr CEIPT NO. COMMUNITY DEVELOPMENT DIV. y�/ r 1 PROTECTIVE INSPECTION SEC. �,/!( t . , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/3/99 � JOB ADDRESS 1054 64th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Moore Lake 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lori Wirth 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION tP( REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2360 $1.18 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 $83.25 Fire SC $2.36 PLAN CHECK FEE TOTAL E 79 SIG E OF CON'RACTOR OR AUTHO iZED AGENT DATES N ROP ALIDAT HIS IS URPE i �,-3.��&"07f I If AGN U F OW OF OWNER BUILDER, 10 BLRE iNSF' MATE 01, NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY (� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 1 BUILDING �- PERMIT APPLICATION Construction Address: 10514 (c Legal Description: f IZ IS-SI/321 Owner Name & Address: 16) Rt i (LTW 106q I -q4 -L h11C- Tel. # 6 / 2,- 572 '-39'7! Contractor: 4!:�) W n e 0- MN LICENSE # Address: 10 -SLI (0 C 1- Au --f- F1L t' 0 z'W Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. OTHER: �. / o2S- 2 Construction Type: Estimated Cost: $ �3. 6 O Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ - 0 DATE: APPLICANT: Tel. # %2-5'71-- 3877 CITY USE ONLY Permit Fee $ ^ Fee Schedule on Reverse Side Fire Surcharge $ o?. 3 6 .lol of Permit Valuation (1/10th%) State Surcharge $ /. l�Y $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 [ ] g66, /� 9 TOTAL $ STIPULATIONS: SUBJECT P City of Fridley 33220 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. ` _---- COMMUNITY DEVELOPMENT DIV. b I � PROTECTIVE INSPECTION SEC.1 r � , NUMBER REV GATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 L J\ 763-571-3450 910-F15 10/29/02 JOB ADDRESS 1054 64 AVENUE NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Moore Lake Highlands 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joshua Thompson 1054 64 Avenue NE 612-221-1428 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 B USE OF BUILDING Residential 7 CLASS OF WORK NEW O ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 20' x 12' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. ""I" WUNI NG S YL `t-k8�t r Before digging RE auiRE �� call for all Utility 454'000 �� OI..AO' 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 ORWORK 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 @ $2,980 $1.49 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 T AL FEE A $87.72 `,. TUR FCONTRACTIIZEDAGENT 4DATE�N EO VA ED THIS IS YOU PERMIM S� ATURE Of Ow NEMILDER. iDATE, SkkG OS ASE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [) 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ALIConstruction Address: 5 T' -i frl Legal Description: Owner Name & Address: Tel. # Contractor. 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 OTHER: -20 zL X f l Sq. Ft _ -R Yo /fir • 'f -W a `� Ro--!— �� Construction Type: Estimated Cost: $ • Driveway Curb Cut Width Needed: Ft Ft = Ft $ =$ DATE: /d • APPLICANT. Tel.# (,/z ?7� i4/zp Call (763) 572-3604 for Permit Fees if maing n'a plication or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ravffi V • Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: Design # 72203 w 10/27/2002 ' *** Take this sheet to t�ilding Materials counter to purchase your materials. *** You selected a with these options: 12' Wide X 20' Dee X 8' Hight P Gable roof wl 6/12 pitch rafter construction .� e;WL2 0" gable/0" save overhangs / J 7/16" OSB Roof Sheathing.�6c;''_ _ 8" Pine Grooved Vertical Siding�. 20 r. Standard lass, Earthtons Cedar Shingles `�2 y g � Fe s�� 2 Pine Fascia Galvanize Aluminum Regular Roof ti'� Galvanized g Edge Ce was htn e. AoU P �b6�iX 3'1� 393 �. Ylswl�:ber 1 4 IN to �� .�i v q W0 Df aw Sa.T, vit fi < < �: 00 C yAfml rew+a) 66ad' 753 t05,' qh•5 III Ar:S Front View e2 *Y 161/ F1144K e - ox cegfier Back O PLAN APPROVED 1 5la b Fvof--tj5 L ..gyp x 1 2'' wi� Today's cost for materials estimated ' this design: ' $1 49.06 s ; , Base without options: $ 970.78 The base price includes. 0 Eave/0 Gable Overhangs, 2X4 Wall Studs, d 7/16 OSB Roof Sheathing, 20 yr. Fiberglass Classic - Onyx Black Shingles, —/0��J �'� Pine Fascia, Galvanized Regular Roof Edge, 8" Textured Vertical Hardboard Siding, No Service Doors, No Overhead Doors, No Windows, or Any Other Options.