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PRE 2010 DOCS• Ci f F City oFridley,Minn.* BUILDING PERMIT N® 4327 Date: .....1....... _......... ..1._....`.._ ...._............ ...................... Owner:...................................................................................................._.................... Builder --- Address....._.............------------._........_......_._...._.... ._._.....__....------ ---------------- Address ...................................... .............. . ...................... . . 7 ............ ........... J CA IONF ILDING 61 No.../.... 46. ...... Street - 1�....._..........- .........................................._.............. Part of t .................._......_...._..........._------ ----._............._._ Lot &AP -3 Block.............�� .............................. Addition or Sub -Division ...._-...... - - -- Corner Lot ................................... Inside Lot....it........ ................... Setback Sideyard77z-%......._....................... ....... . Sewer Elevation.................................................._............................................. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: /.�fc 41.......... Front ,3®' �. Depth R.(�.�G0Height 1./.c ...:_� Sq. Ft. .7t % l I T ....................................._..................... Front ........................ Depth .._._........ Height ..................... Sq. Ft. Cu. Ft. Type of Construction ..............._........................................ Est. C �lR:... ;.. _ .... To 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�f in mpliance th all pr visions of ordinances of the city of Fridley. ..................._ . _ - - - - -- ---------- ---- - .. OIA-P 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 ordinances. _ S Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 • • r 1 City of Fridley, Minn. BUILDING PERMIT Date: — Sept. 29, 1967 N°- .9477 Owner. Ren Hollister Builder ...,.. Same _-._- --- ---•- Address _. 1466 64th Ave, , N. E. Address Same; - LOCATION OF BUILDING No. — 146 Street _ _ 6411 &m. _ _ _- __ Part of Lot Lot ._.__24.of-1-. Block _.__._._.._..2 Addition or Sub -Division . ___ Spring Valley Addn.. Corner Lot _ ____ Inside Lot Setback --- Sideyard -- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dormer EnclosureFront - Depth _ Height - Sq. Ft Ca Ft. - Front _ _ Depth _ _ Height Sq. Ft. _ _ Cu. Ft. Type of Construction — Frame Est. Cost - .450.00 ___,._ To be Completed — In consideration of the issuance to me of a permit to donstruct the building described above, I agree to do the proposed work in accordance with the description above forth and in compliance with all provisions of ordinances of the city of Fridley. C In consideration of the payment of a fee of $ 5.00 ., permit is hereby granted to Ren Hollster 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 buil within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Od ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gat heating, sewer or water. Be aur to see the Building hnpeetor for separate permits for these hems. A?!"S'_JCA'fY,t} ! YCR IT 01.111ER `S NAi;t3—�w. ��� a__ ., _ . k _. � b� __ _ F`'f `•IiLPV � .. � �vrr�x' . _ _..� ADDRESS� �� l0 ��� acLt . ADDi:E:SS LOCATION OT, I3UILDYNG -PART OF LOT LOr _VL0CI: _ � � ADil7l:I.UN OR SU`ut31:VIS3:Uir'w��%Ly� CORNER LOT INSIDE LOT SETBACK SIDE -•PARD SEWER ELEVATION FOUNDATION ELEVA TION 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 Ad Front Depth Height Sq. Ft • - - Cu. Ft. Front Depth Height Cu. Ft._ - Type of Construction Estimated Cost �� •� To Be Coupleted 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. a DATE r� :�G SIGVATURE ..i�j), \ (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... ....................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ - x2.00 $ — 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 C Description ................................................$ TOTAL FEE $ Ma 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. Owner Kind of Used as To be completed ahrnit Estimated Cost, Old—New. Build oplo ROUGH FINAL I 4z Business Phone No 42 s a12i U' z� °� �8pZ �Z 5O,s1�� J � i • R WATER HTR. • N GAS ELEG 3 �� �n� c� o`�c tS <3 �•d �Sn �O Base 1st 2nd 3rd 4th • Future Connection Openings Connected with e New Fixture, Old Openings Sewer I El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... ....................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ - x2.00 $ — 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 C Description ................................................$ TOTAL FEE $ Ma 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. Owner Kind of Used as To be completed ahrnit Estimated Cost, Old—New. Build oplo ROUGH FINAL I 4z Business Phone No 42 City of Fridley, Minn. -11112 6431 University Ave. N.E., Minneapolis, Minn. 55 2 BUILDING PERMIT Date: July 28, 1971 Ot nw: Kenneth Hollister Builder _ _ Same ,Address 1466 - 64th Avenue N.E. Address Same LOCATION OF BUILDING No 1466 Street 64th Ave. N.E. Part of Lot Lot 3 Block 2 Addition or Sub -Division _ Spring Valley Corner Lot Inside Lot % Setback —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth2. 8' Height 10' Sq, F, 672 c, rt 6720 Front _ Depth Height Sq. Ft. ___ Cu. Ft. Type of construction Frame Est. Cost „�. 2943.36 1 To be Completed 6 months Hard surface drive. Property to be graded so as not to direct any drainage onto adjoining properties. A max, of 3 to 1 grade must be maintained - max. fill along east side of garage would be l' in order to maintain this 3 to 1 slope. In consideration of the issuance to me of a permit to construct the building described above, I agree to do fte proposed work in accordance with the description above t forth and in compliance with all provisions of ordinances of the city of Fridley. SC $1.47 In consideration of the payment of a fee of $-L3 _-00 , permit is hereby granted to Kenneth Hollister 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 Ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings the city limits and this permit may be revoked at any time upon violation of any of the provisions of said r M[TFIICH Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. . APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: a 1/ S lerBUILDER: ADDRESS • /416 6 (o �/' Q dam, -n. ADDRESS :_P NO:. f 44 6 STREET • LOT: BLOCK • ADDITION • 21,R //��. ., CORNER LOT: INSIDE LOT: _X_SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used Ass DESCRIPTION OF BUILDING Front: Depth: ria ` Height • Square Feet: Cubic Feet:., z, -Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: � ,� �.��_ Estimated Cost: $ �94..�. w To Be Completed: (r E ) � ('� ' ,-f 1, ; The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: `/ - % - -7/ SIGNATURE: Z� L�� (See Reverse Side For Additional Information.) t F l -i t4 f F � ;, APlication for Power Ptah: and Heating, Cooling, Ventilation, r-- and Air Conditioning Splens and Devices PARTIAL RATE SCHEDULE GRAV*TY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ... ............ .. $10.00 i Replacement of Furnace ... . ..... 6.00 i Repairs & Alterations—up to $500.00 6.00 Repairs & Alterations each add. $500.00 3.00 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ...... . ..$10.00 $_ each add. 60,000 BTU .................... 3.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6,00 $ — over 3 gal. per hour—See Fee Schedule Dept. of Bldgs. Phone 860.3480 9 6 -a 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 Ordinance: 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 1g _ . -9 ! 0 Owner Kind of Building Used as To be completed about Estimated Cost, ld --New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS team, Hot Wates, Warm Air—No GAS BURNER (up to 199,000 BTU) 6.00 $ Trade Name Size No over 199,000 BTU See GAS FITTING FEES: Fee Schedule NO RATE TOTAL Capacity sq. FL E.D.R BTU H.P 1st 3 Fixtures x$ 200 ; Total Connected Laad Kind of Fuet Additional Fixtures x .75 ; Gas Range to 199,000 .. 2$5.00 ; BURNER —Trade Name Size No AIR COIlDITIONIltG �� - _``C,;, �+�=-e®� c� �� Ca adty P Sq. !'L E.D.R B� I4. FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS �� , "'o TOTAL PEE —� ROUGH— FINAL—L6 OUGH FINAL./6 ,- (SURCHARGE (REMARKS—OYER) iLe Business Pheim No. _ Application for Power Punts and. Heating, 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 ............ 8.00 $ .each add. 60,000 BTU ........................ 2.00 $ _ Replacement of Furnace ............................. .#.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 $ GAS FITTING FEES: NO "TE TOTAL QO 1st 3 Fixtures ...................... x 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 FFE ROUGH FINAL ,&? - Z 3 - ? 7 Dept. of Bldgs. Phone SU. 4-7470 Location % Lf0 b ` C� 7' l✓ (/ s 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. Fri#ey, P!L a D 19 Owner Kind of Used as It l To be, completed about Estimated Cost, $ Ol New. Building Permit No. Permit No. 152/442-1/ DESCRIPTION OF WORK `% HEATING or POWER PLANTS—Steam, Hot Water, Warm AAi_r—No Trade Nam Size No B U Y Capacity Sq. Ft. E.D.R.%� d b BTU H.P. Total Connected Load 6 !� ° � Sind of Fue BURNER — Trade Name Size No Capacity -Sq. Ft. E.D.R BTU H.P. J a z ZM 7•59 i (REMARKS—OVER) i Signed By-i.��Li. Jou r, 3a,% • 11 C�.ty, of Fridley, Minn.. 94 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: November 7, 1972 oma: __ Kenneth L. Hollister guilder RU Quality Construction Service Inc. ,Address 1466 - 64th Avenue N.E. Address 2001 East 24th Street,Kpls. LOCATION OF BUILDING No. - 1466 Street _ 64th Avenue N.E. Part of Lot Lot 3 Block 2 Addition or Sub -Division Spring Valley Addition Corner Lot Inside Lot X Setback Sideyard Bower Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Remodel Interior Front Depth Height Sq. Ft. ___ Cu. Ft Front Depth Height Sq. Ft ___ Cu. Ft Type of Construction Frame Est. Cost $4,500.00 To be Completed Dec. 1, 1972 ^12 'oWITNIFAV slate' c" ' " OF IFRAVE' N. f. 6431. UNIV� ry A� rRI0LEy, 55432 In consideration of the issuance to me of a permit to construct AW building described above, I agree to do #ho proposed work in accordance with the description above setfo and ' 0 1 ce with akprovisions of Ordinances of the city of Fridley. o 2.25 '"tate In consideration of the payment of a fee of $ 27.00 , 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 XWdley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildffip n� city limits and this permit may be revoked at any time upon viola�u of,�ny of the provisions of said NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION$ OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINN950TA OWNER'S NME rB-u ILDER ST��%� ADDRESS :,,��6 LOT BLOCK; AW=ION 3 v U. CORNER LOT: LOT;�SETBACKg SIDEYARD: AfftjrAmt attach to thU foam_ o Certificates of Surv2X of Lot and proposed b"Idtag location drams on these Certificates, To Be us" As,. DESCRIPTION OF BUILDING Depth- height Square Feet; Cubic Feet; Fraatt Depth* Height: Squama Faett; Cubic Feet; Tree of Constructions; ,-wwye % ,Satimated Cosa: $ .� t�10 �---- To Se toted; �7-)!=�c The Undervlgned hereby mak" application for, a pe .t for the work herein speeifi*4, agreeing to do all cork in atttct accordance with the Oity of TvIdley Or4Ummms and vuttw of the Department of Bui ldinge, and hereby dtalat+ep 04 all the facts and representations s ted in this application axe true correct-* _ 1&TI; (fte Reverse Stda For Addit4onal Infoxvation.) 11 City of Fridley pgcMe for Phmblft and G= t Dept. of BUkpL Phon• 560-3//4__50 J / DESCRIPTION OF WORK Number, bind and Loca an ®g F ixtWeB "7—r • • w�"s him City of Fridley: Base let 2nd PARTIAL RATE SCHEDULE N ncc 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 reeling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct lVidley. Minn Owner Kind of Building Used as Cesspool ❑ PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ . . ;5-- x $200 $ to Future Fixture Opening ....:...... x $1.50 i New Fixture Old Opening .......... x $1.50 S Catch Basin .................... �� x $3.26 1 Water Heater !Up to 99.000 BTU) . • • . x $3.00 i New Ground Run Old Bldg......... x $3.25 S Electric Water Heater .............. a $2.00 S GAS FITTING FEES: NO. RATE TOTAL let 3 Fixtures : $200 $ Additional x $ .76 : Gas Range to 199.000 BTU ............ x $6.00 i State Surcharge $ .50 REPAIRS t ALTERATIONS—Refer to Code _ Descripdon . o . o ... • ..... • s ... o . • . • •..............._ TOTAL TSE g,v To be completed about c� Estimated Cost. $ OI New. Building Permit No. Permit No. _ Signed By 8 ess Ph one No ROUGH. FINAL •) -a e- %J'-- Appliccafien for Pewer Plafs and HeathM Cooling, Ventilation. Rat — - ation and Air Conditioning Sptem and Device: PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATlC TOTAL Furnace Shell & Duct Work ................ .. $10.00 i Replacement of Furnace ... . ..... 6.00 i Repairs & Alterations -up to $500.00 6.00 f, -_'776— Repairs _o'dRepairs & Alterations each add. $500.00 3.00 $—__ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ...... . .. $10.00 $ each add. 60,000 BTU .................... .. 3.00 ; Replacement of Furnace .... 6.00 $ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. .... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines -to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER -to 3 gal. per hour 6.00 $ _ over 3 gal. per hour -See Fee Schedule GAS BURNER (up to 189,000 BTU) 8.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures a .75 $ Gas Range to 199,000 :$ 6.00 $ AIR CONDITIONING FAN HEATING SYSTEM PENT LATING SYSTEM ALTERATIONS It REPAIRS ROUGH FINAL�- $ See Fee Sehedale i TOTAL FEB $ (SURCHARGE $ _50) Dept. of Bldgs. Phoste 880-3M Locag City of F5ridleeyy. The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordihancm 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//- J� Owner'AlAja � Kind of Building . Used as .__- _-- - - To be completed about 6�� Estimated Cost, $___6-___. (9 -New. Building Permit No. Permit No. .� y DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air -No Trade Name Size Ne_ Capacity Sq. Ft. E.D.R BTU HP Total Connected Load Kind of Fu1el BURNER - Trade Name Size No Capacity Sq. Ft. E.D.R BTU Hp 120- �' By Business Phone 1v�'� 7 7 (REMARKS -OVER) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION.BUILDING PERMIT 'CITY OF FRIDLEY, MINNESOTA fate OWNER'S NAME :/ ' BUILDER12W, d Ak: - • ^ ^rn� ADDRESS: ADDRESS : 325/' - A? -C NO:ASTREET: LOT: BLOCK: 0�-- ADDITION: a.� CORNER L INSIDE LOT:_ETBACK. IDEYARD: Applicant attach to this form Two Certificat;.- of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Fe -e : �o 9 Type of Construction: �A RO6�' . �%� � Q 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. DATE : SIGNATURE: (See Reverse Side For Additional Information.) r, 00/10W % Sl. 6 0 6,676 R Pr City of Fridley .. SUBJECT PER 12992 AT THE TOP OF THE TWINS BUILDING PERMIT i ` RECEI U. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---- ,'J 612-560-3450 910-F15 6-3-75 JOB ADDRESS 1466 - 64th Avenue N.E. Fridley, Minnesota 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Snring Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Minnesota 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bill O'Connell O.J. Remodeling C. 3731 - 14th Avenue South Minneapolis 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residence 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C:k REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof, Re-side & Rebuild Garage & Remodel Basement 9 CHANGE OF USE FROM TO STIPULATIONS ovide Hard Surface Driveway. SEPERATE PERMITS REQUIRED FOR WIRING, VWp1Rij110; . HEAPING, PLUMBING ANO SIGNS. a s Before doing EC 'OcalGAS Etc. TELEPHONE E LAWRle BY 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 -1 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 $81500 $6.50 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 O R STATE OR LOCAL LAW REGULATING CON- $51.00 STRUCTION O H P C F CONSTRUCTION PLAN CHECK FEE TOTAL FEE C' $57.50 ATUREOFCO TRACTORORAUTHORI2E AGENT (DATE) WHENePR.PERL,�OW�LIDATE, THIS IS YOUR PERMIT BLDG I June 3, 1975 DATE SIGNATUREO OWNER IIF OWNER BUILDER) (DATE) J - '2v7- "j, 3731- 4 — e -zCc G t O tZ -- /7 rC / �l�Q �i /I Oc�A? 1/loo ..`rI3 /^� ! / �,� F v/ ��..- . - �,/•�/ (i _ � D Vim/ '�4 i,� �; .-s �, � •� ` - ` � \,` : �s cam- 7Z R o t � o P �.- • � Ca���, � . � � `�� Z/ate= Ao� �� � T 7 � ,�/ ' rte, _,�.,` 6dr • !� `moi' \Y �� a y . � Y .� . /� 1 /'� SUBJECT P NO. City of Fridley 13300 AT THE TOP OF THE TWINS BUILDING PERMIT r RE ______ COMMUNITY DEVELOPMENT DIV. 1 L PROTECTIVE INSPECTION SEC. /� 1IIF 200 r 1 � 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 11/5/75 JOB ADDRESS 1466 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Hollister 1466 - 64th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. North Central Builders 7401 - 42nd Avenue North 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C$ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUI ED FOR WIRING. HEATING, PLUMBING AND -SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Steel 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $3,100 2.50 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- $21.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT�`AL FEE l ( � % S� 2L)X 23.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) •APPLICATION FOR Ri:SI'DL'NTIAL., ALTL'RATION, OR ADDITION.BUILDING PEMIT CITY OF FRIDLEY,-NIINNESOTA , AtiE . / r . BUILDER : �'/ [ /✓� - 01MER'S N .l % ADDRESS : ADDRESS : STREET: IAT: BLOCK: ADDITION: F CORNER LOT: INSIDE LOT:__SETBACK: SIDEYARD: Applicant attach to this form Two Certificates. -if Survey -of Lot and.proposed 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; Cubic Feet': Type of Construction: 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. • DATE: SIGNATURE: U� ' (See Reverse Side For Additional Information.)' SD -V D GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 29, 1993 Dorothy Hollister 1466 - 64th Avenue N.E. Fridley, MN 55432 Dear Mrs. Hollister: You recently spoke with Steve Barg, Code Enforcement Officer, regarding the possibility of splitting your lot to create a second buildable parcel. You currently own a lot which is 62.5' x 300.78' in dimension. It would be possible to split the rear 150' from your property to create a second buildable lot. This would provide a lot of 9,375 square feet in area. However, a variance would be required to be granted as your property cannot meet the minimum lot width requirement of 75 feet. In addition, there is not a public street to the rear of your lot at this time to provide the required 25 feet of access which is required by the City Code. To provide access from 64th Avenue would reduce the width of the lot to below acceptable standards. This letter is not intended to state that you would not be able, at some time in the future, to split your property; however, two items must occur prior to a split being approved by the City of Fridley. 1. A public street must be constructed along the rear lot line. 2. A variance to the minimum lot width requirement of 75 feet must be granted. If you have any questions or concerns regarding this subject, please contact me at 572-3593. Sincerely, Michele McPherson, BLA Planning Assistant MM/dn CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 q_;/_ q( Effective On January 1, 1999 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS z "�/ New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** L $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 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. Owner 0 J Building Used As Estimated Cost �®®• ®� PERMIT NO. PLUM 0 1999 SIGNED t t TEL NO. 4�-��_�. Approved By Rough—In Date _Final Da'�Kj MINIMUM FEE FOA ANY PLUMBING/ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. C[iYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 October 17, 2001 Ms. Dorothy Hollister 1466 64 Avenue NE Fridley, MN 55432 Re: Final Inspection at 1466 64 Avenue NE Contractor: Tschida Bros Plumbing Dear Ms. Hollister: A plumbing permit was issued on July 27, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DAVE Building DJ/mh sue,ECT PE City of Fridley 332 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 ; � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 It"""11.� �'j 763-571-3450 910-F15 11/8/02 JOB ADDRESS 1466 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Ej 3 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Hollister 1466 64 Avenue NE 763-571-7339 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d 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 X 8 DESCRIBE WORK Install an egress window 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. I 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 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 $500 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23.50 Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE — , --I �4 / 1 4.50 iG ATURE OF CON' CTOR MOR1ZEO �T l (DATE- / ENP OPE VALID T THIS IS Y UR PERMIT - NSF' /�/� �� r'Art S,GNATURE OF OWNER O N R I� Ri (DATE, NEW (J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: /1161�a % eqx Legal Description: Owner Name & Address: © Z Z, YZ�7/e Tel. # Contractor. EzMN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 HgUGround Sq. Ft Ca7/l/'TN0oz'V Construction Type:/�D1�1) f "/��OY> E Estimated Cost: tl�) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: // L eon APPLICANT: / el. # P 3 9 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - 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 [ J STIPULATIONS: ti-tj- -L I- - A J I— :�;Sti6 W2iU 1�SdOy . �. *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMIIT FURNACE Approved by Rough -in Date Final Date 05 6 v l 3) CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICA. FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIG *TION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS b RATE SCHEDULE Fee Total ' O r �(i` ,y �� 54 - Residential Owner r Furnace Shell and Duct Work, Bumer & also Replacement Furnace $35.00 $21 *00 Building Used As i Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST( � n PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units 7 Circle One (Steam) (Hot Water) arm Air Trade Na Size No Conditioning-AllSizes $25.00 BTUO HP EDR Fuel peg Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State surcharge ST HEATING & AIR CONDITIONING CO. E," ) 410 WEST LAKE STREET Xiggned& TOTAL FEE $ (a�' A/6-1- -� MINNEAPOLIS, f4"#55408-2998 612 -824 - REINSPECTION FEE $50.00/HOUR FAX # C./ 5— Y2 G e'o Date 1r, // *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMIIT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( 41-� No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verges that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (� No ( ) When tmteltirm ar now yentlnsil syetem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type � BTU Input -���- -DD o Fan Assisted or Nat FA - Appliance #2 Type _ _ 1. J-0- N-� BTU InputZ3 , J Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Typed Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length 3 ft Diameter in Type BUAv r Appliance #2 Vent Connector Height / 5 -ft Length , ft Diameter _ ;_in Type (2, Appliance #3 Vent Connector Height ft Length ft Diameter ::in Type HEATING CO: I �T)lw Signed By: I 4 - �� Date J Vv�— 9 3-0'7, 7r - Building $ BUILDING Plan Review Permit No.: /7�/ Inspections Surcharge RESIDENTIAL APPLICATION .S?!) (.0005) times the total job valuation — Minimum $.50 Received By: 763-572-3604 f 9 op .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ Date Rec'd: SAC Charge $ DATE 'r J� YOUR E-MAIL ADDRESS $ SITE ADDRESS 40 t;t4V $ _/ THIS APPLICANT IS: ❑ OWNER 4CONTRACTOR $ PROPERTY OWNER/ NAME: 06A- j - fc-eti $ TENANT ADDRESS: �7 {o & 41 C �L CITY Af G / ? STA _ �✓ Z. r Make checks payable to: City of Fridley Attach Stipulations PHONE: Ae 3 P7® ` 7 If CONTRACTOR NAME: WMM712M MODEMINC • STATE LICENSE # ATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION p ONE PROPERTY TYPE FUINGLE FAMILY/NEW COMW4==10=0 SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK XSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: / Z—G�1, AX4 0-12�¢�rq'`✓ lA,Llx* -d 1-409 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan 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 ATrim 1. Site Plan/Survey showing the existing structures Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 $__ Sa OBD OCCUPANCY TYPE Permit Fee $ gR'JZ9, ZC— See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ .S?!) (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ f 9 op .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ r 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 a owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances codes the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fo d w k is not to start without a pe it; that th work will be in accordance with the approved plan in the case of all work whi d a royal of plans. �� �� SIGNATURE OF APPLICANT PRINT N I DATES NEIN [ I ADDN { ) ALTER [ ) Construction Address: Legal Description: , K Owner Name & Address: Contractor. . CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION h ,,,41.,- AI -F Effective 4/1/2004 (763) 672-3604 Bldg Insp (763) 571-1287 Fax lkvc4z h'r 11Tel. # -7 S% 1-33q MN LICENSE # 1. �2IL / ' " 1,� 1 u Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length �a Width Hgl/Ground Sq. Ft. OTHER: Z I 67C/'Y)-) - d %l i,,&J� .�,'`d7� Construction Type: � ��` L °P; a -- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ = $ DATE: APPLICANT ._ fi, , i ,;', V;Tei. #- Call (763) 672.3604 for Permit Fees if mailing in application. Fax to 763-571-1287 If using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ % / /, as Fee Schedule on Reverse Side $ 65% of Permit Fee .001 of Permit Valuation (1110th%) $ ® $.50/$1,000 Valuation $ $1350 per SAC Unit .$ • C?O $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. 'B" Above $ $450.00 Conservation Pian Review $ Fee Determined by Engineering $ Agreement Necessary [ J Not Necessary [ ] $ 1,-22.,3B STIPULATIONS: 20/zo'd A31CIdzl 30 Ai 13 VS:zti b00Z-L0-03C