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PRE 2010 DOCSTO WHOM IT MAY CONCERN: August 5, 1965 Re: Ellsworth Hinz 384 - 66th Avenue N. E. Inspection of Garage Floor At some time during the storm repair inspections, the Insurance Adjustor for this property requested my presence at this address to inspect the garage floor. The question was whether the cracks appearing on the garage floor were caused by the tornado or not. I made the statement at this time to the adjustor in the presence of Mrs. Hinz that I could not say that the cracks were caused by the storm. I did not make the statement that the cracks were not caused by the storm. I merely said I could not say they were caused by it. Sincerely, ALLEN G. JENSEN Building Inspector City of Fridley AGJ:cks City of Fridley, Mian.. BUILDING PERMIT • Date: AUGUST 172 1965 RLLSWORTH HINZ 361-� % N? 83'3 Builder H. J. BLOMSTRAND & SONS, INC. Address 384 - 66th Avenue N. E. Address 1220 Arcade Street Fridley 32, Minnesota St. Paul, Minnesota LOCATION OF BUILDING No. 384 Street 66th Avenue N. E. Part of Lot Lot 4 _ Block 3 Addition or Sub -Division Rice Greek Terrace Plat Corner Lot Inside Lot Setback Sideyard Sewer Elevation To be Used as: Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Front Depth Height Sq. Ft. Est. Cost —$1, 000. 00 To be Completed • REPAIRS DUE TO STORM • Cu. Ft. Cu. Ft. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. �/ F In consideration of the payment of a fee of 210.00 , permit is hereby granted to H. J. BLOMSTRAND & SONS, INC. 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, may construction, any time inan�o sial n off anyand the pmoving Of ba 41A4 -id within the city limits and this permit ordinance. ALLEN G. JENSEN Building Inspector NOTICE: 7W pme don not carer the construction, hotaiistion for whing, phwb1no, on hosting, Baru or water. Be an to as the Butldieg h*utor for apwate pwnshs for thea hmm 53-84-9915051 . City of Fridloy ApplictstIcn for Pluwling cma Sin r-111fing Peit . Dept. of Blda-a. Phone SSO-34W DESCRIPTION OF 410r.r. Num'xr, Kind and Locrtion of Fixtures 381s 66th Ave.• North Futu.ra C =G=4 -u OpQnir_3s `'i7° Y7i° Seveso Xow Fixture. Old Opsnings Cc:spool C] PARTIAL RATE SCHEDULE ,UMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $-- _.vew New Fixture Oki Opening.....:.... < 3 U U a N IU $ Water Beater f Up to 99.000 BTU) wAM MTA. GAS ucc. x $3.25 $ Electric Water Hastor...... ........ a $2.CO $ LS FITTING FEES: NO. RATE TOTAL Ist 3Fixtures ............. • • • • • x $2.00 $ . Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU, ........... 1 x $5.00 $ oo 114 RPLC 1 i Futu.ra C =G=4 -u OpQnir_3s `'i7° Y7i° Seveso Xow Fixture. Old Opsnings Cc:spool C] PARTIAL RATE SCHEDULE ,UMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $-- _.vew New Fixture Oki Opening.....:.... x $1.50 b_.._ Catch Basin .................... x $3.25 $ Water Beater f Up to 99.000 BTU) x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Hastor...... ........ a $2.CO $ LS FITTING FEES: NO. RATE TOTAL Ist 3Fixtures ............. • • • • • x $2.00 $ . Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU, ........... 1 x $5.00 $ oo City of Fridley: The undersigned hereby snakes application for a permit for the- work herei specified, aZreeing to do all work in strict accordance with the City Ordirance and ruling of the Department of Buildings, and hereby declares that all the fart and representations stated in this application are_true and correct' Fridley, Mina 3-9-76 M & I9e Owner Ellsworth Him Kind of Building frame Used as res. To be completed about 3-16-76 Estimated Cost,. $ 10_00 Old—Mm. Building Permit No. Permit No 0 L� � Signed MINNEGASCO By -- Business Phone No ROUGH FINAL /0 :PAIRS & ALTERATIONS—Rafer to Code .50 State Sur'Charga . Description ........................................ � TOTA,rZE $5. 50 Class "A" S'Lircharge .50¢ City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERM P ® 1 45� r i. COMMUNITY DEVELOPMENT DIV. 1 � PROTECTIVE INSPECTION SEC. 1 ` � CITY HALL FRIDLEY 55432 612-560-3450 CEIPT N �J NUMBER 910-F15 REV. DATE 4/16/76 PAGE OF APPROVED BY �aVADDaEss .66ath Avenue N.E... O.. 1 LEGAL DES CR. LOT NO., 4 I BLOCK ...... .....TRACT 3 OR ADDITION SEE ATTACHED Rice Creek Terrace Plat 2 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ellsworth F. Hinz 384 - 66th Avenue N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 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 Ij NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 20' Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be permanently attached to g Ound by either a foundation or ties. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 240 2400 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION j ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT. VALUATION $$OO.00 SURTAX - 50 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. $5.00 PLAN CHECK FEE TOTALFEE $5.50 TE) GN TUREOFCONTRACT R RAUTHWIZEDAG NT W&76 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 1 -1b/ -e7/ y BLDG INSP DATE u' ,S11NATURE OF OWNER IIF OWNER BUILDE RI IDA E1 .OW TIMR39 :u p 141 4 10 EA'k 9, 1 '� �$ �1 Yp 691 �'9UI �q•� '� � � f9{ �A°P.�� ��98 81nIWT 3HT 10 90T 3HT'TA 4 i .00 T91303R VIO TVI3M9OJ3V3a YTIMUMMOO • . " lot j .032 N0IT03g2111 3VIT03TOR9 ��• f. ti $;p@�Y8 Y3JOIR9 JJAH .Yifc) If "'= • f 03VOfl99A 0 3DA4 P 3-O38B oaae oaa-s to :. ,:,� ` 82313aaA a'o 03HOATTA 332 KOITIOOA SO TOAST . 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DESCRIPTION OF BUILDING To Be Used As: J & 'ED Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Squares �F�eet; Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed:Q r The undersigned hereby makes application for a permit for the work herein, specified, agreeing to do all work in stiict 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: — Ao - 7(e:7 SIGNATURE: o (See Reverse Side For Additional Information.) NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 3 ,Fr Y G G "-/ -x"- Legal Description: Owner Name & Address: /Oa ve ',4 CA Tel. # Contractor: S�e �� MN LICENSE # Address: sG' 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: . 0 �. -3. aD Construction Type: 91r- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ DATE: �.s - G>' APPLICANT: 017 �r 61.".1 Tel. # 763- �7/- 6^3 c 7 Call (763) 572-3604 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 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ O �-S STIPULATIONS: MECHANICAL �. Permit No.: � Building Received By: Inspections RESIDENTIAL APPLICATION , 7.63-572-3604 CITY OF FRIDLEY EAD �' 1 vT� YOUR E-MAIL ADDRESS APPLICANT IS: ❑OWNER C�2elA TrRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE ADDRESS: a 46®, 1 -e-4`4 Av4 CITY PHONE:, COMPANY NAME:_ CONTACT PERSON: STATE LICENSE #_ EXP DATE effNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE p NEW p�LACEMENT ❑ ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK ATL4kJ ZIP TE-HNZIP �� PER MS 16B.665 the permitfee is a minimum of $15.00 or 5% of the total cost up to $500.00, whicbever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) X.05 Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor_ KATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: NUMBER OF EACH BELOW) MFG: ��„ �I,e „� MODEL: M "�� Equipment Installed MODEL: SIZE/BTU MFG: MODEL: SIZ BTU MFG: GAB RANGE/OVEN 510.00 A/C $25.00 _FIREPLACE (GAS) $15.00. NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER 515 FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 —BOILER $35.DO 7;: URNACE $35.00 POOL HEATER $35.00 - CHIMNEY LINER SIO.OD _GAS DRYER $10.00 —VENTILATOR $15.00 DUCT WORK $10.00 _GAS PIPING $10-00-08 AMR,v Permit Fee $ Number of fixtures @ $10.00 x $10.00 '5" 5w Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x$25.00 = $ Number of fixtures @ $35.00 ✓x $35.00 = $, State Surcharge = $ .50 Total = �� 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 n Codes; the work will stand this is n conformance with the ordinances and codeseoff the C'rmi wo t k IctIc o start and lwithout th the al permit; that the wesota ork will be in accordance with the not a permit but only an apple ati P approved plan in the case of all w c ares review and approval of pl D PRINT NAME DATE SIGNATURE OF APPLIC City of Fridley Building Inspections Department. 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 r. e v. -7ic2 <W)-AQ77 REQUIRED INFQRMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEV11EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN �nendments b. Natural Gas or propanefTGC Chapter 3 with MN Amendments 2 Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel oilier than gas IMC Chapter 8 with MN Amendments EEQUIRED FOR NEW HOMES 4. Heat loss & cooling load Per room a_ Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy C6ae 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D , NOTE. Lente oint Energy Mechanical Code Guidelines software may be used for coinuu.stion and make up air calculations Building BUILDING Permit No.: Z4D q 01 & inspections RESIDENTIAL APPLICATION Received By 763-572-3604 Date.: AUG CITY OF FRIDLEY 'JATE 6 (O Jbq YOUR E-MAIL ADDRESS SITE ADDRESS 3 a q L 4K THIS APPLICANT IS: ❑ OWNER 'BCONTRACTOR PROPERTY OWNER/ NAME: Kfll J0h/)5on TENANT ADDRESS: 3 a q 6(,/,, AVL M CITY FP/ el[ STATE ZIP Jr'SV 3 PHONE: CONTRACTOR NAME:_ THD -At-Home Services, Inc. .Jodi em Fid i r J d n < S STATELI(. 2690 Cumberland Pkwy, Ste 300 q sa j a yrs - c, o u -7 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS Cumberland Office Park CITY WITH APPLICATION PHONE Atlanta, GA 30339-3913 ❑ SINGLE Lic# 20268257 Ph. 763/542-8826 =E —STATE—ZIP PROPERTY TYPE ❑ TWO FA .ORIES PERMIT TYPE 11ADDITION ❑ GARAGE/SHED –t3 -V NDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING 1 DESCRIBE WORK BEING DONE:_ y Lo ► /1 & W lit � [i G M 11)4S (,n . Y/ // S T t t1 0 J21 f 1 I/-) S . Ft. 'IZE OF IMPROVEMENTHEIGHT LENGTH WIDTH tOOFIIVG ❑ HOUSE ONLY 7UMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ;ARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 'ROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan 'ROPOSED HEIGHT: 3. List of structn -A members to be used TIDING FOR NEW CONSTRUCTION INCLUDING DECKS, vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: I Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures I mer ❑ Fascia and proposed project ilmows 2. Two sets of construction plans V EXISTING OPENINGS'SkYes ❑No LOCATION OF )yIN OWS 3. Energy Calculations ?R FOR NEW OPENINGS -DESCRIBE SIZE OF K, �t h rA /�1 �roo� • �j o ��(�uy /fti >PENING CHANGES & ]. ..b 4 "&'A t t' (�w.�n 1 YPE OF WINDOW TO BE INSTALLED . NUMBER OF VaNDOWS T ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ d 10 % OCCUPANCY TYPE ermit Fee Ian Review urcharge ire Surcharge icense Surcharge AC Charge :urb Cut Escrow rosion Control ark Fee ewer Main Charge 'otal Due See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in mformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a -rmit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved :an in the case of all work which requires ie d approval of plans. ^� ; < ` 6 bo /el GNATURE OF APPLICA153y�PRINT NAME / � � J " /) * 11 C DATE