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PRE 2010 DOCS* City Fridley, of FyMinn, .• e BUILDING PERMIT Date: _.__.._�.s._.._..._j.1._...._...__..---- Owner: Address N° 4269 Builder.. -.........._......._....._...._... _ _....... ....... _ _ Address----•-•-- ............._.... ...._............. ... _...._...._ _......._.._.._.._._..._.__ ._.._._ "LOCATION�yOOF BUILDING No. _...1_.......- �� Street _ Ce_,._...I......--------••-•---_._ Part of Lot _........... _.._..__ __.._._......_...._ _...-�--•- Lot ----------/'/* ............. Block ........ _..�..... ................. 7ddition or Sub -Division 0........... ��,�rr e 4 ri ar Corner Lot ......X . ................. _.... Inside Lot .......... ...... ............ ......... Setback ...�.._®........ S eyard/4........ ...................... .............. _._....... Sewer Elevation .................... _............. ............... ............................ _....................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: r r � v r w .. .............._. ... ... _.................... Front lj/� .�.'O epth '... Height ��..' Sq. Ft. A/_... .. Cu. Ft. a?/, �J / p +� `v g 0_"'..® Sq. FtXd.,,/ . F'��a!�,,. Front ........................ De th �C...��...`_.. Height _�.... .. ....... Cu. F't.... _...� .............................. Est. Cost..........CI.. .... !o Type of Construction ............................. � �.� . 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 fort and in mpliance J�'''�th a provisio of ordinances of the city of Fridley. os�/� v//�/. In consideration of the payment of a fee of $.Z1` .................—., 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 hems. 4 "I Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning ttoning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 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 $h r) each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ 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 $ 5 C— GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $—�� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE S REMARKS: 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. Owner C,_ zld Kind of Building Used as — To be completed about Estimated Cost, $ 195- 195- 195— Old—New. Building Permit No. g DESCRIPTION OF WORK HEATING or POWER PLANTS—Ste , Hot Water, Warm Air—No Trade Nam Size No z 2) Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Loa _g:r: Kind of Fuel BURNER — Trade Name_ Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign By it POST IM -12-58 Business Phone No FD A— NvAdAPA Net emcp. wAU Int. wall Floor Total Etta. Required sq. ft, E.D.R. *,q. m— '77-A, 7 FE-D.R.— 'a7 <Z q. 1771 A. W1 aod Net esp. IDL wau Floor Focal &m Required sq. it. E.D.R. -tjr r' -'C" F1.1 R viadows and Do*;2�—Cracnm z,,t", Net cxp. w&U 'Im, WAR Total Stu. 4L-quimi sq. ft. E.D.R. or mci. inz 7W.A. RT (2000)-12 Si 1L M apm CMI. sk- -.4Q) 110 -7 6), 417K 4c aq- ft- TELDR r,7 aq. 1'63- ',V-A. UacL-r Am- F-" Haam 1 Lxnsah Width /-I Heitht &AIj Door'- Zrzckagc and Arem p- ;5•'- L b k Me. a8 Llrk*Al 9t. A"O UpmQr at -t,nck OR. M zz Btu Ii d.r.iaNn JQ — 17 Net esp. IDL wau Floor Focal &m Required sq. it. E.D.R. -tjr r' -'C" F1.1 R viadows and Do*;2�—Cracnm z,,t", Net cxp. w&U 'Im, WAR Total Stu. 4L-quimi sq. ft. E.D.R. or mci. inz 7W.A. RT (2000)-12 Si 1L M apm CMI. sk- -.4Q) 110 -7 6), 417K 4c aq- ft- TELDR r,7 aq. 1'63- ',V-A. UacL-r Am- F-" Haam 1 Lxnsah Width /-I Heitht &AIj Door'- Zrzckagc and Arem p- ;5•'- L b k Me. a8 Llrk*Al 9t. A"O UpmQr at -t,nck OR. M Btu Ii d.r.iaNn Net cxp. w&U 'Im, WAR Total Stu. 4L-quimi sq. ft. E.D.R. or mci. inz 7W.A. RT (2000)-12 Si 1L M apm CMI. sk- -.4Q) 110 -7 6), 417K 4c aq- ft- TELDR r,7 aq. 1'63- ',V-A. UacL-r Am- F-" Haam 1 Lxnsah Width /-I Heitht &AIj Door'- Zrzckagc and Arem p- ;5•'- L b k Me. a8 Llrk*Al 9t. A"O UpmQr at -t,nck OR. M Btu Ii d.r.iaNn JQ — 17 —DAL W.A. Leader Aren 4a1� City of Fridley r App ication for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK cr — / Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ir Number Fixtures ...................... x $1.50 $_ ��•®!� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... % x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ ----(20— Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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. eeinti Fridley, Minn e�Z a�2,�3 , 19 Owner 6 -444" - Kind of Building Used as To be completed about A Estimated Cost, $ ev, --- Old l\Te . uilding Permit No C� y Per�miiit, No. 11611 Signed 0 ROUGH MAY 12 1960 FINAL a x 2M 7-59 By Business Phone No y G Y 1/� toSZ aZ w Z • F • N WATER HTR. GAS ELEG 3. fi m M 3 L- C LL (�90 Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ir Number Fixtures ...................... x $1.50 $_ ��•®!� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... % x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ ----(20— Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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. eeinti Fridley, Minn e�Z a�2,�3 , 19 Owner 6 -444" - Kind of Building Used as To be completed about A Estimated Cost, $ ev, --- Old l\Te . uilding Permit No C� y Per�miiit, No. 11611 Signed 0 ROUGH MAY 12 1960 FINAL a x 2M 7-59 By Business Phone No y SUBJECT City of Fridley 22104'' AT THE TOP OF THE TWINS BUILDING PERMIT r �• __ _ COMMUNITY DEVELOPMENT DIV. -- �� -76 r PROTECTIVE INSPECTION SEC. NUMBER REVDATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 9/13/93 JOB ADDRESS 91 6511 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Bryan Gerdin 91 6511 Way NE 574-0509 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State.Building Code. Provide adequate attic ventilation, Provide smoke detectors as per UBC 1210.. adjacent to all sleeping areas and in basement.. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $ l f 300 $,65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31.Oa Fire SC $1.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $32.95 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI- x &� * WHEN E ALIDATED THIS IS YOUR PERM BLI5G INSP ��ATE —SiGNa UR F OWNER (IF OWNER BUILDER) IDATEI NEW ( ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2(7 C-� Building Permit Application Construction Address: / — %2 Gil f� !f /U �r r ri /e f�� / Z Legal Description: �, � � /j i3 �© � "&, a.4er G. rd-fW s Owner Name & Address: 9 F-vAN A] Tel. # Contractor: ill 4zse /,' MN LICENSE # Address: LIVING AREA: Length Tel. # J -7 `f -6SO � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 9C fn5f d� Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: 4-44-4 44 Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ / zoo, 100 (Cost on Back) Ft x $ M DATE: I J3 - i' 3 APPLICANT: �� ` Tel. # S 7q--Os-6 CITY USE ONLY Permit Fee $ 2) 00 Fee Schedule on Reverse Side Fire Surcharge $ /- 3C) .001 of Permit valuation (1/10th%) State Surcharge $ (� $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] 3::2 TOTAL $ L STIPULATIONS: