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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N© cq?9 Date: Owner: udder ---- — Address Address r r/ L TI F BUPUWNG No.:��-= Street Part o! -- L Lot Block Addition or Sub-Divisions Corner Lot __ Inside Lot Setback yard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth s Height Sq. VAOe6L rai%W _ Front Depth eight Sq. Ft. — Cu. Ft. Type of Construction -r Est. 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 set forth and in compliance with of l provisions of ordinances of the city of Fridley. 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 u viola mV any of the provisions of said ordinances. /!!) Building Inspector NOTICE 'ills permit don not cover the soateustioe, butaWan for wbiee, phnmbine, ea hath& swar or water. Be w e to see the Buildime Imspeetor for sopuab pwwft for thea Nene. - APPLICATION FOR BUILDING :PERMIT CITY OF FRIDLEY, MINNE90TA OWNER'S NAt�M, j�, r� BUILDER ADDRESS [ ', ADDRESS LOCATION OF BUILDING No. ZY , 57�0 Street r part of Lot TOZ Lot5 Block ^_Addition or. Subdivisionsb6irur. Vil Uec4 A00. Corner Lot Inside Lot V 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: .51 AI yLej -7-44h l t 0 %e '5�fd Front ' / Depth Height Type of Construction To be Completed Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost 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.a_nd representations stated in this application are true and correct. 44�-DATE� RIGNATLAtE �C' (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Cooling, Ventilation. ReMgeration 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 ............ &00 $ 9 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 Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ x $1.50 $ Additional Fixtures ............... z 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 ...e ............... 2.50 $ FAN HEATING SYSTEM OIL BURNER—to 3 gal. per hour . ..................... 5.00 $� over 3 gal. per hour—See Fee Schedule $ ALTERATIONS & REPAIRS TOTAL FEE GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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 gre-#ue and correct. Fridley, Owner Kind of Building Used as 42 To be completed about----v/� Estimated Cost, $ Old-,eXewj Building Permit No. L®� Permit No. WORK HEATING or WER PLA team, of Water, Warm Air—No Trade Nam Size No- C Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R I BTU H.P. (REMARKS -OVER) 42 41V1 1),56 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MIM. Weatherstrips A.S. V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19— FI.1 9, :W . .Room I Lenath Width t Height U II RLI Z i Room I Lenstth,'9 Width ,I S Height F Windows and Doors—Crackage and Aiea Total Btu. Required sq. ft. ED. . or sq. ins. W.A. Leader area Width Height No. of Lineal ft. Area No. of pane of pane llehts of crack sq. ft. 2 to 9,10 Windows an oors—Crackag and Area Coef. Btu Infiltration Glass Btu /0 IWO Exp. wall Exp. wall Net exp. wall I Coef. Btu Int. wall 2— 3 )-2- L,2-O !7 1,2-o Ceiling Int. wall 77 �Q Floor Ceiling f 7— 1p 1 otal titu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI Room I Length dVidth Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crank sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length / Width Windows and Doors—Crackage and Area Width Height No. oL Lineal ft. Area No. of Wane of pane lights of crack ea. ft. Windows and Doors—Crackage and Area Total Btu. Required sq. ft. ED. . or sq. ins. W.A. Leader area Height Width Height No.oL Lineal ft. Area No. of Dane of pane lights ' of crack sq. ft. Room I Length Width i y� Height Windows an oors—Crackag and Area Width No. of pane Coef. Btu Infiltration Glass 7- Exp. wall I I I Coef. Btu Net exp. wall 2— 3 )-2- L,2-O !7 1,2-o Exp. wall Int. wall Net exp. wall Ceiling Int. wall kz, Floor f/ Floor Total Btu. Total / Total Btu. Required sq. ft. ED. . or sq. ins. W.A. Leader area Height Fl,i Room I Length Width i y� Height Windows an oors—Crackag and Area Width No. of pane Height No. of of pa/n'e lightss oL / �2 7- Btu I I I Coef. Btu Infiltration Glass 2— 3 )-2- L,2-O !7 1,2-o Exp. wall Net exp. wall Int. wall Ceiling f/ Floor Total Btu. Total o c� _��_!y! _ Required sq. ft. E.D.R. or sq. itis. W.A. Leader area Height FLS Room I Length Width / ,5 Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane IlBhte oL crack sq. It Coef.1 Btu Infiltration Glass Exp. wall a Net exp. wall } Int. wall Ceiling Floor j Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Infiltration /O Glass 154 Exp. wall Net exp. wall Int. wall Ceiling Floor Ile Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu 0 �z° City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures 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 Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $--Z Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Dept. of Bldgs. Phone SU 4-7470 Location ��S® – d' '�/ �• 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 e::W a C", 19-4--3 Owner ( %�)be.&0gqt;&.; Kind of Building Used as To be completed about Estimated Cost, $ Old ew. Building Permit No �3 i i �n 2c/ Permit No. r Signe By Business Phone No ROUGH -3 m I? & – Z3 FINAL 42 iM 3 7 ,?jam Y O� 80 (�9•d �� 0 Z �p • R • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer El 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 Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $--Z Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Dept. of Bldgs. Phone SU 4-7470 Location ��S® – d' '�/ �• 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 e::W a C", 19-4--3 Owner ( %�)be.&0gqt;&.; Kind of Building Used as To be completed about Estimated Cost, $ Old ew. Building Permit No �3 i i �n 2c/ Permit No. r Signe By Business Phone No ROUGH -3 m I? & – Z3 FINAL 42 iM im sue�Ecr PERMIT City of Fridley 12790 AT THE TOP OF THE TWINS I � D I I�' i� D [ D A A I BUILDING r � Dv 'vv r LR'v' ECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION VO ��" /� r PROTECTIVE SEC. 1 /-•-% CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �••" �'3 612-560-3450 910-F15 10/31/74 JOB ADDRESS 1450 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herbert N. Hart 1450 - 64th Avenue 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. City to set elevation. SEPERATE PERMITS REQUIRED FOR WIRINale HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 832 8320 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 $4,784.00 2.39 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- $15.50 NONE STR CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $17.89 A IGNATUREOFCONTRACTOR RAUTHORIZED AGENT (DATE) WHEN PROPERIf DATED THIS IS YOUR PERMIT r PP ATURE OF OWNER (IF OWNER BUILDER) (DATEI BLDG )NSP D E im APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : .! / ti, Pb e - k / L. /-/a Lf BUILDER: -s.4 /)I -e— ADDRESS : P/ 6-0 &,/ tb A d..- /U. F o ADDRESS: -514 lAf, NO :. / I/S0 STREET: & L-/ >`? // a _"__ /I/• /' LOT: BLOCK: vZ ADDITION: Oa e i /7 �! Lez 1/-7?- g Ad,dih`®ti CORNER LOT: INSIDE LOT:,f 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: Q &� i - a -- Front: Depth: Height: , r Square Feet: Cubic Feet: _ 63 ab Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Wo & r-ya-177-e-- Estimated Cost: $ gp�, 7 To Be Completed: 'Wo'V 1, �Ci%,S", 4j 98N 0U 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. DATE: —/41 /0 ' 7 SIGNATURE: (See Reverse Side For Additional Information.)! /,C,-, S-7) o pq U. 1 PROPERTY 1' ClES:.R!:3E0 :t:: t''OLL..;',rb ; / e CeRTI1ICTE OF LOGATIO,N Or EUIIiNL M •_rrb r certify that L hereby certify _-u-scy of :n�, ?;car.3n of the building(s) ar_ I�ha i su�eyed the propr_::.- ... , r'st•e.i . -_ .. ----- above desc Sed Dro ..• i i that the location of the allovo !i build �p(s) is cc.^recc:- :n ar, the above glat, plat is a correct re%;, JOHN J. RYAN, YEt,SJ VEYOR. Na. 4 4 s0 'AL1L.,iI: CRAVE. RF"G. 'w L' :..t+;.VEYOR. No. .;44.9 - .-%,- I!-, -?w SUBJECT PERMIT N City of Fridley T? AT THE TOP OF THE TWINS PERMIT (&W BUILDING RECEI COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 It NUMBER REV. DATE PAGE OF APPROVED BY L"" -'J 612-560-3450 910-F15 8/28/78 JOB ADDRESS 1450 - 64th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 2 Spring Valley SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Herbert Hart 1450 - 64t1i Avenue 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 4 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a deck 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $700 $.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 SIGN TUREOFC�O,NT,RA�C%TORQfO/R/AUTHO IZEDAGEN IDnrEI WW�HEN PR PEJRLY VAL'ID%ATED THIS IS,�YOUR PERMIT,} -k 7 BLDG INSP CLU DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEW41TS (NEW, ALTE=RATIONS, ADDITIONS, OR REPAIRS) OWNER: P YJ7 -e -� /7� BUILDER: C �� r� Address: j`[S /J 10�/ f /7 A v -t M. E Address: Tel. No.: NO. Street: /p V LOT: S^ BLOCK: �_ ADDITION: S�h q CORNER LOT: INSIDE LOT: t/ SETBACK: SIDEYARDS3 J t 4-4-h to L -his farm wo Certificates of .Survey of Lot and proposed AppliCan a ac building location drawn on these Certificates. DESCRIPTION OF BUILDING , To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: J Cubic Feet: Type of Construction: /-0 C % Estimated Cost: $ % To Be Completed: b e T ®Y-•4- W/ /,hl Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side %for additional information. DATE: SIGNATURE: �¢ �A,�✓I �% ��G� Stipulations: -� C �� r� ..._ ;i- JI � Z�� 0 r SuBjECT PERhTNNO"�� City of Fridley '` 4 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v r, r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 I NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 7/1/96 JOB ADDRESS 1450 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herbert Hart, 1450 64th Avenue, Fridley, MN 55432 574-1908 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION NO REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Ronf repair 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 $1,485.00 $.74 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- Fire SC $1.49 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $48.50 PLAN CHECK FEE TOTAL FEE $50.73 iGNATURE OF CON TRACTOR OR u ORIZED ENT IDATEI HEN PROPERLY VAL TED IS IS YOUR PERMIT BLDG PAP f PATE SiG ATUREOF OWNERUF OWNERBUILDER1 iDATEi r NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 4 ConstructionAddress: / ��, / A ,�. LJ Ze V_ //z x'17 e - Legal Description: Owner Name & Address: el. # S Zq -f I'® 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 S® Width —:7 Height Sq. Ft. O 3 j e GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: `1 Estimated Cost: $ `�d AJ, tF2, Approx. Completion Date: _iN (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: Permit Fee $ Fire Surcharge $ , State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Ft x $ CITY USE ONLY Fee Schedule on Reverse Side Tel. # .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] - SUBJECT - RMIT NO. City of Fridley .24917 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO.� Ir COMMUNITY DEVELOPMENT DIV. ry�y r PROTECTIVE INSPECTION SEC. ®}IGe/J 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 1'j 612-571-3450 910-F15 3/24/97 JOB ADDRESS 1450 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herbert Hart 1450 64 Avenue NE 574-1908 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S, Mpls., MN 55406 721-6628 2179 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 B DESCRIBE WORK Install siding, soffit & fascia, and trim 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11,233 $5.62 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. $187.25 Fire SC $11.23 PLAN CHECK FEE TOTALFEE License SC $5.00 $209.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY `VI DATED THIS IS YOUR PERMIT IBLDG INSP GATE SIGNATURE OF OWNER 0F OWNER BUILDERi IDATEI NI -,W I I WICCUve 1/1/94 AWDN I I CITY OF FRIDLPY • ALT13it I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1 _q 5-0 4h 4ue N e Legal Description: Owner Naive & Address: -pe- r j_. r: �_ a,nk Tel. # - ICIOR_ Contractor: Tan e-/ 0- F-4 OEf I�IN . MN LICENSE !f__Q1 Address:__ l 1,? �S/')e, / 1/n a 'AUQ_ SO Tel. # %a I - 662e 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 t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot I ) Inside Lot O Ft. Yd Setback Side Yard Setbacks Type of Construction: SoFFi4. Fasu'4. Yp S eon i nA +-r 1 Estimated Cost: $ Approx. Completion Date: (cost on Back) Driveway Curb Cut Width Needed: Ft. + G Ft = — Ft x $ _ $ DATE: 315/9 APPLICANT: ,,,� , Tel. // (o 17 - oZfra _. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USI; 01�LLY Fee Schedule on Reverse Side 5013 -i:k 1033 .001 of Permit Valuation (1/10th!) $.50/$1,000 Valuation $800 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 I I Not. Necessary I I $ $^ $ CITY USI; 01�LLY Fee Schedule on Reverse Side 5013 -i:k 1033 .001 of Permit Valuation (1/10th!) $.50/$1,000 Valuation $800 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 I I Not. Necessary I I CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential - Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, - but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 11% of Valise of Appliance or Work :ommercial /Indus trial 1.25% of Value of Appliance or Work Rate, Rate, $ 30.00 $ 10,00 $ 10.00 $ 10,00 $ 25.00 State Surcharge TOTAL FEE I V z• i ►� ► _ �•;• f • MINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. luctf pfd U/'Ga' 4a.ti Effective On January 1, 2002 JOB ADDRESS �L �� --4 V 'y OWNER #--e/2-9-e127- Hat'rc.-l- TOTAL BUILDING USED AS `)JVt LL c we— ESTIMATED COST �'Oy �� PERMIT N0. 1-05 DESCRIPTION OF FURNACE ANQ OR BURNER No. of Heating Units_ Circle One (Stearn) (Hot Water) arm Air $ Trade Name P-AEK Size No. 5Se- -© 174 - /�- BTU SID, L HP 'rEDR Fuel Total Connected Load Burner Trade Name Size No. $ BTU_ HP EDR 'X -- '0- Ne- --t/V-eA- $ 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 an $ 50 rulings of the Building Division, and hereby declares that all the facts and $ representations stated in this application are true and correct. �d DATE . HEATING CBiver CitV Sheet Mataillnc Signed 9928 Bluebird St. N. W. TEL # 33 FAX # 70-754-91 Qq Approved By Rough -in Date` Final Date %- "D1� Building $ BUILDING See Back Page for Fee Schedule Permit No.: d -V Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY 4-00 OF FRIDLEY Date Recd: ". DATE p L- YOUR E-MAIL ADDRESS �?. 00 SITE ADDRESS 145n k6 Avg. Al. L`. $ THIS APPLICANT IS: ❑ OWNER WONTRACTOR SAC Charge PROPERTY OWNER/ NAME: V APL $1550 per SAC Unit (Plans to MWCC for determination) ADDRESS: 14 So d,4 Ve, Al, P- CITY : k e 7 STAT&* -ZIP 5 3a TENANT ft + 6 ft = ft x $21 = $ -/; PHONE: $ CONTRACTOR Nom: i DIY\ —d* tb-sioNti Park Fee STATE LICENSE # EXP DATE //'' OAoC 7yP�ti S <SJ4 3 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: • CITY 4 STATEAMIP WITH APPLICATION PHONE - ".3 2a FAX - ;S3 -cZ0 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED EaVINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: W XL ^r 16CP o47 elk( -s+/ -;c/ 41 Vi; vUYJ1\ �J 1A& W SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan 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 I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS�� IN EXISTING OPENINGS ff es ❑No LOCATION OF WINDOWS / 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF BAY WIM65W n OPENING CHANGES & T TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19� U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ci-I , ;1S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 4-00 .001 times the total job valuation Surcharge $ �?. 00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ S-00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ 1 to oZS Make checks payable 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 codesof a City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a ermi d ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor uires e i and approval of plans. 1 / 'n SIGNATURE OF APPLICANT PRINT NAME 1 I 1 SNiO� 1el/C DATE 6