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PRE 2010 DOCS!* 0 City oFridley, y, Minn e BUILDING PERMIT Date: .®........_ J ....-----J....._.................... ...... - - ...........- Owner: Address Builder Address N° 4326 r 4/ ION OFBUILDING No. 1..�........ Street .....--1-•-.•-.• -------- _.._...... Part of Lot .. --��..--..��........_...._ ....._......._...- ....._...__ Lot �..1,"!:.'.Block ........._.................... Addition or Sub-Divisio ......�......Lf- _........... - h t� Corner Lot ................................... Inside Lot ...%%............................. Setback,..: .._�.................. Sidey.-................ ......................... ............ Sewer Elevation .................... _............. _............. _............................ ........................ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: g �/............. Front o'.. Depth -!?4 _e�Height ... ." a �Sq. Ft.. Cu. Ft.��l � .......................................................... Front ........................ Depth .. Height Sq. Ft. .... Cu. Ft. Type of Construction --............. ....... .................... ........... Est. Cost.../..4 ....,7 .��... 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/"� and c heli v ,''th all ons ordinances of the city of Fridley. y IV ��/�, � F�--........._............._......... •----.... _ !.._...._......-- ------- , -- - 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 we the Building Inspector for separate permits for these hems. 4 City of Fridley, Minn. 9054 r BUILDING PERMIT 0 Date: OCTOBER 13, 1966 • • ULF R.Mt]!.. _ _N1!4_Rf .4 : tpaJ)FRq Address 64TH AvE= X-F�. Address 35 HIGHWAY.IdO 1LEY, Mn=SOTA 55421 U><s4I\i ' t MTNW-SnTA 95411_ LOCATION OF BUILDING No. 1.490 Street _ 64TH AVENUE N. E. � _ Part of Lot Lot _ _1 --- Block 2 -- Addition or Sub -Division . __ SPRING VALLEY Corner Lot .. – X Inside Lot ---- Setback ---- Sideyard Sewer Elevation --- Foundation Elevation To be Used as: DET. GARAGE Front .-- Front _._. Type of Construction FRAME DESCRIPTION OF BUILDING 24 Depth . —22 Height ._.._10 Sq. Ft. 528 Depth _ _ Height Sq. Ft. -- t Cost _ $1, 700 _._ To be Completed Cu. Ft. 5, 280 Cu. Ft. SUBJECT TO KEEPING NATURAL DRAINAGE FLOW. THIS OWNER ASSUMES RESPONSIBILITY FOR ANY WATER DAMAGE CAUSED BY RESTRICTING THIS FLOW. In consideration of the issuance to me of a permit to construct the buil ' g,,described above I agree to do the proposed work in accordance with the description above t forth and A compliance with illi provisions of ordinances of the city of Fridley. i In consideration of the payment of a fee of $ 5 00 , permit is hereby granted to— INTER CITY BUILDERS 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 anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota reg location, construct�fon, 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. CLARENCE BELISLE Building Lmspector NOTICE: Thb permit does not cover the construction, hutallatlon for wiring, plumbing, gas hea8ag, cower or water. Be sire to see the Buf1ding hupector for separate permits for theme Henn. A Pt A/ APPLICATION FOR BUILDING PERMIT J j CITY OF FRIDLEY, MINNESOTA ry OWNER'S NAME_ &_L��% �BUILDE Z" ADDRESS r054) - ADDRESS 42 apZ S LOCATION OF BUILDING No. Street -4/ A.", e Part of Lot LOT I BLOCK ADDITION OR SUBDIVISION ��/%L �r Corner Lot_Ljnside LOT setback Side Yard SEWER ELEVATION P F,OUNDATICO, ELEVATION 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: Front* -Depth 'Height Sq. Ft. Ft . Front Depth Height Ft. Cu.' Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for the workhereinspecified, agreeing to do all work in strict accordance with the City of Fridley ordinances. and rulings of the Department of Buildings, And hereby decla I res that all the facts and representations stated in this 'application are true and correct. A 4 DATE / a (Schedule of Fee Costs can be found on tlYe Reverse Side). A 7 /D 7 w City of Fridley SUBJECT jPE R AT THE TOP OF THE TWINS BUILDING PERMIT .13040 r REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 7 1 . � "S CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6-23-75 JOB ADDRESS 1490 - 64TH AVENUE N.E., FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 SPRING VALLEY SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE RALPH G. RUNDQUIST, 1490 - 64TH AVENUE N.E., FRIDLEY, MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. DAN KINGLAND 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 NX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK STORM REPAIR 9 CHANGE QF USE FROM TO STIPULATIONS CLEAR LOT OF ALL DEBRIS BY 7-15-75 REPAINT ALL OUTSIDE SURFACES BY 9-1-75. INSTALL HARD SURFACED DRIVEWAY 10-1-75 WARNING Before digging �ft i�I utilities SEPERATE PERMITS REQUIRED FOR WIRING, 7ELEPNONE.ELECTRIC -GAS 'Et'-' 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. FRAM 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 1 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 $2,000 $1.00 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. $12.00 PLAN CHECK FEE TOTALFEE $13.00 XSIATUREOy,CONTRACTORORAUTHORIZEDAGENT1 ATE) WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT .� "31j ,TUNE 23, 1975 AGNATC DATE 4%-� APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION -BUILDING PERMIT CITY OF "FRIDLEY, MINNESOTA `s Ntar,: �i/" .(?-- !/1 �l r� ��s BUILDER ADDRESS : / L��G��`•eADDRESS 1110 : �fU STREET: LOT : BLOCK: �_ ADDITION: �'�,��� � V.) y4z C 0 RNTE3P LOT : C INSIDE LOT: SETBACl:.: SID.EYATJ : applicant attach to this fo-,-.M Taro Certificates of Survey .of Lot. and: propose' . building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 5TOV.&*% 0 gR.P�1 fi � Front : Depth : Hei.gb.t : Square Feet: Cubic.reet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:�a-ZI-e Estimated Cost: -($ t1l00. 4040• 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 03:dinances 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: y?" SIGNATURE: (See peverse Side For Additional Information.)' Ar 6.a S R'S — — ��� Ov . Ric �� � � �c.c_ OG�O�F � I'� �r Sy 9 / /� � � Iti � . f 04-. CLIVI' 0030L." .55-45—Minnesota Qa •� t , Well and Boring WELL OR BORIN LOCATION 00 MINNESOTA DEPARTMENT OF HEALTH Sealing No. H 29754 - County Name WELL AND BORING SEALING RECORD Minnesota unique No. q it�+y*,� �t Minnesota Statutes. Chapter 1031 or W -series No. NOKA (Leave blank it not known) Township Name Township No. I Range No. Section No. Fraction (sm. . Ig.) Date Sealed Approximate Date Well FRIDLEY 0-30 24 13 tt4 N•74 9,, 05,/20/9 or Boring Constructed Numerical Street Address or Fire Number and City of Well or Boring Location 1490 6 4TH AVENUE NE Depth Before Sealing 7 ft. Original Depth N. Show exact location of well or boring Sketch map of well or boring Static Water Level IlAccurate in section grid with `X-. location. showing property lines, roads, and buildings. ❑ Approximate N — '-1— :1, : :..ie I W Screen from $Q #K to ft. Open Hole from to n. OBSTRUCTION/DEBRIS/FILL obstruction ❑ Debris ❑ Fill DROP PIPE AND JET PCC R .. ._ 52' Type of debrislobstruction Obstruction/Debrls/Fill removed? ❑.Nes ❑ No `ktes E Mailing Address if different than property address indicated above. BURCH, RICHARD 3713 54TH AVENUE NORTH BROOKLYN CGSV E E!i' MN 55429 E;'6ingle Aquifer ❑ MultiaquiferY ft. below' above land surface _l_ _ j _ _ r- _ _I CASING TYPE TO ` BLACK T&C I l I I I smite �_ d;x ^meg ENteel ❑Plastic 13 Tile El Other _,� "^ 1.4 t S S —� Screen from $Q #K to ft. Open Hole from to n. OBSTRUCTION/DEBRIS/FILL obstruction ❑ Debris ❑ Fill DROP PIPE AND JET PCC R .. ._ 52' Type of debrislobstruction Obstruction/Debrls/Fill removed? ❑.Nes ❑ No PRP5gfYQfIERANIARD ., V Mailing Address if different than property address indicated above. BURCH, RICHARD 3713 54TH AVENUE NORTH BROOKLYN CGSV E E!i' MN 55429 PUMP DEEP WELL ,SEI` PCWP ❑Vemoved ❑ Not Present ❑ Other CASING Diameter Depth Set in oversize hole? Annular space initially grouted? — in. from Oto ;;+. ❑ Yes No ❑Yes ❑ No ❑Unknown in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION FROM TO If not known, indicate estimated formation log from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: ❑❑ to Annular Space Exists ❑ Annular space grouted with tremie pipe ❑ Casing Perforation/Removal in. from to ft. ❑ Perforated ❑ Removed in. from to ft. ❑ Perforated ❑ Removed Type of perforator ❑ Other GROUTING MATERIAL NEAT CMT 0 10 .3 Grouting material from to ft. yards bags EtdVIRAPLUG 10 5 .117 from to ft. yards bags from to ft. yards bags from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING MEASURED FROM TOP OF CASING 6: BELOW GRAPE LEVEL . . . LOCATED IN WELL PITON NORTH EAST 0,( --IR,' ER OF BASEMENT . . . PIT)# 13-030-24-42 0027 UNSEALED WELLS AND BORINGS Other unsealed well or boring on property? ❑ Yes qNo LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true to the best of my knowledge. Contractor Business Name Lic sa or Registration No. ' r ( Myron Malenke )/'/'v r` �:13 Authorized Representative Signature ' Date JESSE HALENKE SHAUN ,iUNKEF' LOCAL COPYH 'j�j C� ' +7 (V - - Name of Person Sealing Well or Boring HE -01434-01 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE Gas Dryer Back Flow Preventer Required ( )Yes () No Type _ $ 7.00 $ 4A0 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 TOTAL JOBADDRESS Cg9(D l6��0 'AJC 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. ,1993 Owner Building Used As �� 5 2 v1 Estimated Cost c, ®, O P NO. omm aft, t"17 Reinspection Fee $30.00 SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS tinden anus 1 % of Value of Fixture or Appliance P. 0. Box 1165• $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $�� PLUS THE $.50 STATE SURCHARGE PLUMBING COMPANY A'�tfli �� MrAoNeaAsc® Mir�pegascq #� 2-5326 TEL No. olis, MN 55440-1165 Approved By Rough—In Date Final Date ®� � • State Surcharge TOTAL FEE CITY OF FRIDLEY Effective May 1, 1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furn) Gas Piping (piping needed with now furnace) Gas Range 0 Gas Dryer • Air Conditioning (all sizes) RATE TOTAL S 20.00 $,00.0 6 $ 10.00 $ $ 10.00 S $ 14.00 S All Others/Repairs and Alterations 10 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work $ 10.00 $ State Surcharge TOTAL !EE Reinspection Fee ($15.00) / Rough Insp. If Dat '� `i � Final Insp. / 1 Date Approval for Permit �� r MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permisuion from adjoining m!ighix,r. $ /'Y'?o -67 Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER KIND OF USED AS Fridley, Minn. A91 — �7 . l9f—� $ TO BE COMPLETED ABOUT ESTIMATED COST Z'A &- $ .50 GOLD NEW BUILDING PERMIT NC. PERMIT NO. S DESCRIPTION OF FURNACE/BURNER TING or POWER PLANTS, Steam, Not Water, arm Al �1No. Trade Name 1=:::E- Size No. /� U� 7� Capacity Sq. Ft. EDR BTU HP Total Connected Load �/11 nd of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft, EDR BTU HP Company Signed By Tel. No. 573 3 -7`��il�'® Fill out back side for stall: verification on replacement furnaces 0 1 CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6'. Has Total heating BTU I s of All other BTU's TOTAL Remarks Company _ Signed By Date HOUSE HEATING TEST RECORD ADDRESS A/ fa 1 6 Z/ �s /� = � APT. _ OCCUPANT DEP d Me,.- —OWNER HEAT LOSS DATE HTG INST FLOOR CITY SUBURB I&lL SOLD BY _ INSTALLED BY Electrical Work By s'lS- - Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE l - dkg 5/-1- MAKE OF BURNER _ Model 'a f+ Model Serial 1 � 33 Max. BTU Rating _ INPUT MAKE OF FURNACE Model CONVERSION L' J CONTROLS / !I ^ THERMOSTAT � Heat Plug 5 Vent Size Valve KIND OF LINER SIZE NONE_ Limit Draft Hood Regulator Limit Setting day- Fi Iters Size lzx,, !u I Plumber Fan Setting ®dG��> Chimney Location �' Outside Pilot Type %��y�--ce ���✓i"�l Chimney Construction /Inside Pilot Make Pilot Model Smoke Bomb Wiring —1i — Pilot Timing Draft Test Tag L.W. Cut Off / Door Pressure Lighting Inst. Ae Pressure Percent CO2 Date Tested Input CFH Percent 02 Company Testing Stack Temp. 1112k Percent CO Name of Tester 'l* Form 235 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING '' PERMIT P � 4163 Ir? ' ' ` COMMUNITY DEVELOPMENT DIV ___--- U PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. 01-7ar NUMBER 910-F15 REV DATE 5/10/96 PAGE OF APPROVED By JOB ADDRESS 1490 64 Ave 1 LEGAL DESCR. I LOT NO. Pt 1 BLOCK TRACT OR ADDITION 2 1 Spring Yalley Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura David Marx 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace all windows and reside house 9 CHANGE OF USE FROM TO STIPULATIONS Replacement sleeping area windows must meet the State Egress Code. Provide smoke detectors as per State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,100 $2.05 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - TION OR THE PERFORMANCE OF CONSTRUCTION $99.75 Fire SC $4.10 PLAN CHECK FEE FEE - J Al TTAL 105.90 SIG IATU E OF CONTRACTOR OR AUTHORIZED AGENT IDATEI �� 1 P RLY VALI D THIS IS YOUR PERMIT t S A? UREOFOWNER I IF OWNER BULDERI IDAT G DATE f/J Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: ift O t h Ave, OF- Legal % Legal Description: Owner Name & Address: OU) -G! and �ayj MarX /`/90 L®yrhAVe NE Tel. # 57 /-Z5(P / Contractor: owner MN LICENSE# Address: 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 GARAGE AREA: Length Width Height DECK AREA: Len Width Hgt_/Ground OTHER: - Comer Lot [vj Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Type of Construction: NP -W WinAMS i Siding Estimated Cost: $ L4IObA 00 Approx. Completion Date: Mac 3o , (99LP (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 51 I rIco APPLICANT: , -,4 jl /,( ,{,{C��,(� Tel . # CITY USE ONLY Permit Fee $ / Fee Schedule on Reverse Side Fire Surcharge $ /C .001 of Permit Valuation (1/10th%) State Surcharge $ S $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alta "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] 101 V5111 STIPULATIONS: $ OC-L2e) N SUBJECT city of Fridley 731W�5 AT THE TOP OF THE TWINS BUILDING PERMIT REC-MPTWC3. 16 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 76 �•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J` 612-571-3450 910 -FIS 6/12/00 JOB ADDRESS 1490 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I Ej 1 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Marx 1490 64 Avenue NE 571-2561 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Century Roofing 6336 Lyndale Ave S, Richfield, MN 55423 869-5133 20093168 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION OX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,573 $.79 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- ST TION OR THE PERFOR NCE OF CONSTRUCTION $57.05 Fire SC $1.57 PLAN CHECK FEE TOTAL FEE Lice SC $'5/0 $64.41 SIGNATUAEOF ON'RACTOROa UTMOR1 EOAGENT 1 TE1 H NZPRVVLY LIOATED THIS IS YOURMIT -%(0G71NSp DATE SSGNATURE OF OVVNERO6 OWNERBUILDERI 10ATEI N �i� ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �II(�� n BUILDING PERMIT APPLICATION Construction Address: ( "I. V w4 i M A Legal Description: Owner Name & Address: Contractor. Effective 1/1/2000 (763) 572.3604 Bldg Inp ®h � Tel.# rl�-10 MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: 5 - Construction Type -711, A� Estimated Cost: $ 0 n! - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 1A'�)1 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ `Y `' Fee Schedule on Reverse Side Fire Surcharge $ �" .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] r' TOTAL $ STIPULATIONS: SUBJECT ERMIT NO. City of Fridley 32972 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. � 1 � ° NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 ----A�'j L 763-571-3450 910-F15 8/9/02 JOB ADDRESS 1490 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. E# 1 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Teresa Beix 1490 64 Avenue NE 763-571-5694 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 24' x 15' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for SEPARATE PERM13S all utility locations REQUIRED FOR: 4540002 WIRING HEATING REQUIRED BY LAW PLUMGINd AND SIGNS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $49140 $2.07 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $117.46 X SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI RrotnjCa . KrAq WHEN PROPERLY VALIDATED THIS I YOUR PERMIT —'f\`®-6 BOG INSP °)ATE S.GNATURE OF OWNER.WOWNER BUILOERI ° IDATE. NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 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: W!® to` , f l ' Ave- N E *'_� Legal Description: Owner Name & Address: - ,X Tel. # Contractor. Ct_ MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: LengthV�J_Width 5 Hgt/Ground / Sq. Ft 670 a OTHER: - © Construction Type: Estimated Cost: $ 20 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: CMP APPLICANT: Tel. # 51 q 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by -Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: The Home Depot # 2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (76 Thu Aug 08 15:40:01 2002 The materials in this deck will cost $1661.47 File saved as: f:\dn\decks\8080DC12.DER 3D View 1✓07 d�i2�i�Y io /Joos£ MI( OV `�,P.o u4y The Home Depot # 2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (76 Thu Aug 08 15:40:01 2002 File saved as: f:\dn\decks\8080DC12.DER Post Layout for Deck 1 - - - - - - - - - - - - - - - - �+121 3" 12' 3" ( I w ll� 1' 3" 1' 3" — - — - — --BasePoint� ---- ---- ---- ---� F-� Ol N J N - O i The Home Depot # 2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (76 Thu Aug 08 15:40:01 2002 File saved as: f:\dn\decks\8080DC12.DEK Deck Layout /61.0' �Q�' 01/-0 PLAN APPROVED JIRIFCOTO FIELD IidS i