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PRE 2010 DOCS0 City of Fridley, Minn BUILDING PERMIT N° 4325 Date:.. -......_...._......_.... __..: .._-................................_.. Owner: ... Builder Address............. -... _........... _................. Address ........................ ............. ------ ------ - - - - - -- -- - - LOCATIOWPOF UILDING No...,l../......tl...... Street ....._1 f......�. -- ............................ Part of Lot Lot 7l,&o4c ./......- Block............�f..................................... Addition or Sub -Division � . _....... .... .. Corner Lot ................................... Inside Lot ....)(.......... ...... ............. Setback . .� =.._.: ._''..... Sideyard /Q....... ®.....................----......... •-- Sewer Elevation .................................._...........------------........................................................ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 0.1 t • I _......._.. v.. Front 30'..� Depth ®�.�....® Height 1-7.71P Sq. Ft.--/_d....T.._.. Cu. Ft. .................... .......................... ............. Front ----- _----------------- Depth . - .... Height .... Sq. Ft. .....-..............--- Cu. Ft. .......... I ........... Type of Construction........................................................... Est. Co.....�_../....'3.....�.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 fo and mpliarice tlL�^•''�+ons o ordinances of the city of Fridley. '' Y- o -e-0»IV 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 any of the provisions of said ordinances. 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. 52-84-S915-51 City of Fridley Application for Planubing and Cas Ming Penult Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 1476 N E 614th Ave Number, Kind and Location of Fixtures I'O�ho� y x $2.00 $ Future Fixture Opening ................ x $1.50 7Ci�^ Z~z y. N N OZ iGTJZ OJ LL Fo O J w (9 Z z • • WATER HTR. New Ground Run Old Bldg . ............ x $3.25 Base Electric Water Heater a $200 $ I169t, NO. RATE TOTAL G ye $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1st 5.00 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with I Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... .................. .. x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL YKE $ 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. Fridley, Minn 5-15-68 19— Dick llotseth Owner Kind of Building frame Used as r®$ To be completed about 5.20-68 Estimated Cost, $ 10.00 Old—New. Building Permit No Permi o. —24, - 44 Si By Business Phone No ROUGH FINAL • 53-84-9915©51 City of "r iGlay Alarlic�fion for Plc�rrt�a g c.;d � �fi;�l� b�cs�i� • �,.�.,,.,_ Dept. of Bldgs. phone 5...3450 DESCMPTIOli 0: 47011i Locd-on 11.76 ' 64 Ave- NE - i:ua►S.T, Loee:lor of Fixtures M , City of Fridley; r1 19 R o e w�Tta "Tit. • V 7 EU; I Is• I I ins t 1 r- 11 3:d Cc: ts::.ci u; its • F�:`.:.•s Ca::aeua Cip4r r.� Se•waz t Naw i'l.tura. Old Oe-azins Cc *001 D PARTIAL RATE SCHEDULE P LUM. 31?10 FIXTU?E RATES: KO. RATE TOTAL X h'LS1T,beT FZXtIJTCS • • • • • • • • .. • . • • • • Future Fixture Opening • . • • • • • • • • • ---- x $1.50 $.r_ -•--- Few Fixture Old Opening • 0,000... • • ---.-- x S1.50 i.__-:._. Catc'ti Basin .................... �_. x $3.25 .�---- Water Heater 'L'p to 99.000 BTUs • • • • --- x ;3.00 $ • ,New Ground Run Old B!dg. • • • O's • ----- x ;3.25\ S----- V G'Ctek V14 -Ar i:ast.as• .. • • . • • • • .. • • .�..-- s $2.o0 S HO. R:+TL:. TOTAL n. T:I�G FEES: • 1st3Fixtures •••••••••••••''''• ---"---x32.60 S - Adzltloaal Fixtures 0 0 0 0 •0 4 4.0 • • 4 ..--------- x $ .75 S G:3 Rs tae to 299.000 BTU ........... _._.---- x $5.00 5. ----- The undersigned hereby mikes application for a permit for the- work hi specified, aar eeing to do all work 1a strict acco:Carce with tre City O:d:r.: and ruling of the Dopa: ment of Bui1a.'agr. and hereby declares that all the • , and representations stated is this application are true and correct* Fridley. Man 6-18-76 1! Owner Kind of Building fr.aino Used as To be completed about 6-25-76 Estimated Cost. S �• _ / n P41=R Ivo. old --New. Building Permit No. o S By - Busin= Phone No ROUGH FINnL��.: �-� • RE?MRS ie ALTERATION—P•aNr !o Cods . ' 4 50 State Surcharge S . s .I)earlptfon.'..............:....................... Class "A„ Sura ar c City- of Fridley SUBJECT , f?14074 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/11/77 JOB ADDRESS 1476 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Wig 1 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin Knevla 1476 - 64th Avenue N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. John M. Welty 7918 - 59th Avenue North 533-8001 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 X NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x 24' Garage and reside house 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway WARNING Before digging call local utilititi:s SEPERATE PERMITS REQUIRED FOR WIRING, TWHONE - ELECTRIC - GAS Etc. HEATING, PLUMBING AND SIGNS. REQUIRED BY. LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame/Steel 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 $4,262 + $2,000 $2.13 + $1.00 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- $23.04 -I- 12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE X��L :�m - 77 $38.17 SIGNATURE OF CONTRACTOR OR AUTHORIZED GENT (DATE. PR PERLY VALID TED THIS IS YOUR PERMIT !,WHEN V l/ r BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: A/ k x) h- IBJ BUILDER: v _ � Address: (W'7 Q ✓ �7 TV- Address: % 9 It 6-5'; a",'� 'h Tel. No.:- S-32- k-00 No.: /Street: 6 C4 �L,,.% -h �. LOT: (�) �7- I� q L -18F LOCK: ADDITION: CORNER LOT: INSIDE LOT: _ SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. O DESCRIPTION OF BUILDING To Be Used As: Front: _:� tj Depth: -�Height: /U Square Feet: 52 -- Cubic Feet: S-7 , (� {2saar�Q -g- Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: rKM eL11 -P U) D ©J) Estimated Cost: $ '�2 / ®e o• ® V To Be Completed: Proposed Driveway Width If New Opening Is Desired10 1 Al t. A Alt. B $ l" $ (SEE REVERSE S DE 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: Stipulations: ,)3- /'P-00 17 191 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAZI AIR: Furnace Shell s Duct Work ' Replace --tent of Furnace Repairs & Alterations -up to $500.00 Repairs s Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell s Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs 6 Alterations -up to $500.00 Repairs s Alterations each add. $500.00 S'TF %t OR HOT WATER SYSITM: RATE TOTAL $12.00 $ 7.00 $ 7.00 $ 4.00 $ Job Address/ _C Department of Buildings City of Fridley Tel. #571-3450 E_ The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 facts and representations stated in this application ar true and correct. 7.00 $ 4.00 $ Fridley, Minn. . 19�2 OWNER Boiler S Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS 6,a�r_ each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $07OL - NEW BUILDING PERMIT NO. PERMIT NO. 0.6 (over 199,999 BTU see Fee schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Wate , Warm Air No. AIR CONDITIONING $ % ! Trade Name ��l�at./ size No. 61 124 FAN HEATING SYSTEMS $ O __ _ _ See Fee Schedule VENTILATING SYSTEMS $ Capacity 5q. Ft. EDR BTU HP ALTERATIONS $ REPAIRS $ State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE $ BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) FINAL INSP. Company ' Date Signed By L^'� APPROYAI. FOR PERMIT 3 Tel. Na. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE S'JRCHA SUBJECT PERMIT NO. City of Fridley_ 19 7 S 9 AT THE TOP OF THE TWINS BUILDING PERMIT r R FPT-NO. COMMUNITY DEVELOPMENT DIV. 3� 9 r PROTECTIVE INSPECTION SEC. j/ 1 � i CITY HALL FRIDLEY 55432 ti.__.Jl--' �•� NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/1/89 / / JOB ADDRESS 1476 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. A of 1 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Nevala 1476 - 64th Avenue N.E. 571-7568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543 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 Strip, insulate and sheetrock.basement walls 9 CHANGE OF USE FROM TO STIPULATIONS Provide combustion air to furnace. Install smoke detectors on both levels on dwelling. 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 1 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 $1,300 $.65 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- $31.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $31.65 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY ^LI DATED THIS IS YOUR PERMIT BLDG INSo fJAi SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW 17 City of Fridley Effective 5/1/88 ADDN [) R-1 AND R-2 ALTER pGl Building Permit Application Oonstruction Address: alb 1 6 / -r-� AVP • &E Legal Description: Owner Name & Address: M cul, Tel. # - !9 Gbntractor : ,-D �- � AOM�Q Tel. Address: 2` 0 A V -e - Al Attach to this application, a Certif icaate of Survey of the lot, with the proposoed construction drawn on it to scale. EESCRIRZIM OF INPROVEMMT r.rvrrr: ARFA . Length Width Height SII. Ft. GARAGE AREA: Length Width Height S3. Ft. DECK AREA: Length Width Hgt/Ground Sg. Ft. (buyer Lot I ) Inside Lot IA Ft. Yd Setback Side Yard Setbacks Type of Construction: `�, �aSyl,fi2� * &S-g"n+ Lo jiS Estimated Cost: $ 1 -61'au- Approx. Compl etion Date: �5 - — `� 30 G ► v G Proposed Driveway Width If New Opening Is Desired: DUE: — - APPLICANT: B i �, l O 1 S S h Permit Flee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Dain Charge TOTAL STIPO MIOILS: Wl= t b ° MY USE ONLY S Alt. A Alt. B $ See Back Page Tel. # : :by-- MY by Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Flee Determined by Engineering Agreement Necessary I ) Not Necessary I ) 1?"Ozq� MZ,4.� 13e to NO-Opow QOr� &031� t;v �Z; rodo Ow OU 3/• v � CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 11, 1989 Mr. Bill Olson D & D Home Improvement Inc. 7401 Central Avenue N.E. Fridley, MN 55432 Re: Final Inspection at 1476 - 64th Avenue N.E., Fridley Dear Mr. Olson: A final inspection was conducted on May 8, 1989 of the basement alterations your company did at the above address. It was noted that the handrail on the basement stair must be raised to at least 30 inches but not more than 34 inches above the nosing of the treads. We will expect this correction to be completed by May 25, 1989 and a reinspection called for. If you have any questions on this item, please contact me at 572-3602. Sincerely, DARREL GZC Chief Building Official DGC/mh CC: Mr. Mary Nevala 1476 - 64th Avenue N.E. SUBJECT R City of Fridley 5 % 5 AT THE TOP OF THE TWINS BUILDING CF2;3 PERMIT Ir 16. • COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/25/95 JOB ADDRESS 1476 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. W} of 1 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Nevala 1476 64 Avenue NE 571-7568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement Inc 1012 42 1/2 Avenue NE, Col Hgts 55421 788-5602 1798 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 Reroof front of house (5 2/3 Sq) Tear -off; Window wells 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE 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 I 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 $1,300 $.65 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 $31.00 Fire SC $1.30 y PLAN CHECK FEE TOTAL FEE License SC $5.00 $37.95 fIGNATURE OF CONTRACTOR OR AUTHORS jt AGENT (DATE, WHEN y/��/V�A_L-IDDATED THIS IS�,(IQ' UR PERMIT j%PROPER _BLD9f iNSP //L(//� DATE S,GNATURE OF OWNEROF OWNER BWLDERi (DATES NEW II ADDN I I CITY OF FRIDLEY ALTER (I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Contractor: /f Address:____Z� Effective 8/l/95 v Tel. # S % --7 S� MN LICENSE # a-eW / -2 Tel. # s— e e Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width- Height- Sq. Ft. = GARAGE AREA: Length Width Height . Sq. Ft. — DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: q Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback .'� ' a�3 11de YardS acks ed Co�v� Type of Construction: Amo _Q M -- Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: 2� ' S APPLICANT: Tel. CITY USE ONLY Permit Fee $ I.()�) Fee Schedule on Reverse Side Fire Surcharge $______L . 3 C .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ • 6)b $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [) Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT P City of Fridley 2 3 7-5 0 AT THE TOP OF THE TWINS BUILDING PERMIT Ir ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. Tr '341 r c PROTECTIVE INSPECTION SEC. � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/28/95 / / JOB ADDRESS 1476 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. W# 1 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Nevala 1476 64 Avenue NE 571-7568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improvement Inc 1012 42 1/2 Avenue NE Col H is MN 55421 788-5602 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1798 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Garage 9 S 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 I I STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $540 $.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- $ $.31 STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $29.56 SIGNATu E OF CONTRA OR OR AUTH I D A NT (DATpf WHEN PROPER VALIDATED THIS IS PERMIT lYOUR SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI BL INSP FiATE NEW [ ] Effective 8/1/95 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: %6 Legal Description: Owner Name & Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: AlD1W/lM�- . . r Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Hgt/Ground Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $_ '' L.(� (Cost on Back)0 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ CV1� DATE: —%APPLICANT: �, . i ' f iTV TTCF (1Wi V Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �;� 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 $ t Necessary [ ] Not Necessary ( ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Effective On August 1, 1995 fn T MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Signed By e Tel No. V.2 -k-01 Approved By Rough—In Date Final Date FILLOUT BACK SID OR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS % % RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL speciflad agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00.• $ 3ai representations stated in this application are true and correct. (Side Vent — Fill Out Back) Al oy ,1995 Gas Piping (Needed.with new furnace) $10.00 • $ ,�z��C OWNER �a-f, e Gas Range $10.00 $ L c BUILDING USED ASw e Gas Dryer $10.00 $ ESTIMATED COST s3 U J J' PERMIT NO. *Air Conditioning — All Sizes $ 26,00: $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) % I% of Value of Appliance or Work $ No. of Heating its Circle One (Steam) (Hot Water) =armr 'Trade.Name 7271 pn{ �.�- Size No. IJ u v 3-r- Commercial/industrial -BTU. HP EDR 1.25% of Value of Appliance or Work $_ Fuel . ,U d1 t fix: Total Connected Load State Surcharge $ .50 Burner -Trade Name Size No. BTU, ` HP EDR TOTAL FEE HEATING COMPANY Lll_- MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Signed By e Tel No. V.2 -k-01 Approved By Rough—In Date Final Date FILLOUT BACK SID OR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (J'No ( ) 2. Is free from rust or deterioration Yes (,--rNo ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes ( - o ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (4No ( ) -6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater�a Yes No ( ) 8. Has combustion air been provided for water heater Yes (,, No ( ) Remarks: HEATING CO: Signed By: Date: Building BUILDING Permit No: —®/� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: ` 1 - bcl 763-502-497x7 FAX EFFECTIVE 8-19-09 c� DATE—YOUR E-MAIL ADDRESS SITE ADDRESS /44 -7(s � LJ E'__ THIS APPLICANT IS: ❑ OWNER �'NTRACTOR PROPERTY OWNER/ e NAME: TENANT ` ADDRESS: � ILJE_ CITY STATE/ZIP �{ PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # I3 C- � C'a ©® EXP DATE � � `� y YOUR STATE LICENSE �.5! 4--Izl AND CERTIFICATE OF ADDRESS: a^'-- Al CITY Ch+ STATF a INSURANCE PHONE 743 ` 6 -% —5S -'/,S- FAX '7 — $ of PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WAqNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: P NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: za SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING 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 ,(Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & .D H ¢ r TYPE OF WINDOW TO BE INSTALLED / NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ 3N jb G THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ f , / .001 times the total job valuation Surcharge $ r .0005 x Permit Valuation Minimum $.50 License Surcharge $ 'S, $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ® a 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 codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' ora rmit and w i n t tart without a permit on site; that the work will be in accordance with the approved plan in the case f all wo re approval of planr SIGNATURE OF APPLICAN T NAME `^ �� � L Ae,6ATE R4