PRE 2010 DOCSE
Viuogo of iis>�l®�,�IIII.
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N•
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®ffico of wSI'8CTO)m OF B•UILAYLVT(
Ovine
-
Q
Builder-�
0�ATION ®li" BiJtI.DIlNG
No
Street to ,
. Pait oP Lot
Lo 14
Block- `" Addition or t'ub-Division
R,
D GR�TIOX Or' DING
Prottt �` Dep
Height_ Stories' manner as 6
of Co netructio n
To be used a�4
To be, eomplet • +i ii Estimated Co P®�
tl
4.
Permit is hereby
ted to to
the buildin "
upon the express c
described itt the above statement. This permit is g=ted
dition that the person to,whoian RIO granied, and .agents, employees and workmen,"itt an
the work dohiie m,
xhattces of Fridley,
d and upon said buildi�tg, or any
regarding the ccnstruasiion, altgpmrtioih,
j part thereof, aball, conform in all respects to : the ordi-
malhhte'nauce,
witbitt the Ciy limi
,
,and tpidt permit may" be revoked atn3r'tiihte
repair .and moving ,of buildings
upon violation .of airy of the ,provisions of said
ordinances.
i6
�r of Buildings,
A GR ' �rt I3 ►�i ®RN. ST T�PE� +'lOTT
Its' cOIw era
the above permit
on of the issue anc� delivery. to "Me by.. the ilipeetor of ��aaid�t ' of Fridley" of
I hereby agree to do t4 promised . work in accord . ce ;7itk� the description.
above set forth
MOM I herelay
� according to the provisions" ot,'the ordinances of k'a�c?lle;�,-and, Toeing first
to and 64y" that the.wets stated b me aid,contei� 2d in above '
true as therein 8
pe ire
ted:
Su'bscrib� and
orn to Wore. ,at Frldiey, l nesota, this 45 1 e
' day o
llj:!&
D. Ip ' s`
p
City of Fridley, Y[inn. 11f ° 7528
•
BUILDING PERMIT
Date:- MY 25, 1965
Owner: Harold L. Sullivan Builder Arden J. Hovland
Address �— 66 Ave. N. E. Address 4242 Quincy St. N. E.
LOCATION OF BUILDING
No. 522 Street 66th. Avenue N. E. Part of Lot
Lot - 4 _ Block 4 Addition or Sub -Division
Corner Lot Inside Lot Setback — Sideyard
Sewer Mention
To be Used as:
Front
Front
Type of construction
Foundation Mention
DESCRIPTION OF BUILDING
Depth height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
Est. Cost 07.000.00 __ To be Completed
• Rebuild Storm Damaged House, Garage, Porch
General Repair
n
�J
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 in p ce with 21 ns of
ordinances oP the city of Fridley. /%m _Q
In consideration of the payment of a fee of 10.00 , permit Is hereby granted to Arden J• Hovland
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.
NOTICE
Me permb don not corer the constrncNon, hutaMen for wirhm phm1bine, gn heating, sewer or water. Be wre to no
tiro Bonding hnhactsr for separate permits for don hems.
OWNER'S NAME
ADDRESS
APPLICATION FOR B - ING PERMIT
CITY OF FRIDLEYO �INNESOTA
LOCATION OF BING
No. 5 - Str'#-et Part of Lot.
Lot IL Block Additioaror Subdivision
Y
Corner Lot Inside Lot SetW=k Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applitant attach.to thit form, Two Certificates of. Survey of Lot�and proposed build-
ing location drAwn on these Certificates.
a SCRIPTI OF BfJIL
To be used as:
d
Front Depth Height
sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
'Type of Construction Estimated Cost
--To--be -Completed_.____y
—ff"""'
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work iri strict accordance with the City of Fridley Ordinances and
rulings Of the Department' of Buildings, and hereby declare$ that all the facts and
representations stated in this application are true and correct.
.2 ), C 91 r- SIGNATURE, a- I
of Fee Costs can be found on the Reverse Side).
;4, V w = Ze Slo,� ar .Sa g - G G ac. -e 44.6 ,
CA4.
�., rw �-
0-� 44a �
,c 2
J6 / X
F
�dA;j -,*t sem- i4.
*4- // f
J • � r
S0•
W
SUBJECT
P
City of Fridley
27999
AT THE TOP OF THE TWINS
BUILDING
PERM
r
1 1
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
ll
r E � PROTECTIVE INSPECTION SEC
1 /
NUMBER
REV
OF
PAGE OF
APPROVED BY
CITY MALL FRIDLEY 55132
1 612-571-3450
910-F15
9/28/98
JOB ADDRESS
522 66th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Rice
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Marilyn Sullivan
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Rasmussen Construction
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
D NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage 18 S Tear-off;
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Call for building wrap inspection before covering.
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 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
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
WITHW H R SPECIFI REIN OR NOT. THE GRANTING OF A PERMIT
2242
1.12
DOES OT P ME T G1V AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PRO SION OF ANY TME STATE OR LOCAL LAW REGULATING CON-
ST CTI OR TME ERF MANCE OF CONSTRUCTION
74.75
Fir SC 2.2
v
PLAN CHECK FEE
TOT FEE
Lcns
SIGNATURE O ON7 RAC TOA OF AUTMORQEp AGENT iD o -
EN ROP
q
VALIDA HIS IS R P f IT
S,GNATURE OF OWNEROF OWNER BUiLDEA� 1OATE1
iNSP
0 tE
w
y
NEW [ ] Effective 1/1/98
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor: !KvatS VU1,l,(SS-<^ U n S+rRC t 6 ('-- MN LICENSE # 2Q U271!3
Address: K^ Tel. # (o y3 72�
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: � ► A t'v ,� -k- � i vuc, (FFQ . 1260 60 T AAe
✓ -1�tl�oor 1B l�-6
:'�a Construction Type: t9 L Estimated Cost: $L
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:
APPLICANT:
Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$_ a o��
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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 [ ]
TOTAL
$ CDJ. C
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIVISION
Effective On January 1t sse
6431 University Ave NE
Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS SZ,Z Cst � �� L, Q
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specked 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
$
representations stated in this application are true?d correct.
(Side Vent - Fill Out Back)
12,- 1 X 11998
Gas Piping (Needed with new furnace) $10.00
$
OWNER MZP- 1 l_.Zr j,_3 � U L�j U 1N ),j
Gas Range $10,00
$
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST tA Q0 PERMIT NO. 13
*Air Conditioning - All Sizes 25.00
$
_
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) 09RM
Trade Name Size No.1� N C,(0Q`? j
Commercial/industdal
BTU j ,® 4(73 HP �/ EDR
1.25% of Value of Appliance or Work
$
Fuel A -c' Total Connected Load -14510 Q) �
State Surcharge
$ 50
Burner Trade Name N Size No.
TOTAL FEE
$� SZ)
BTU RP EDR
MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
f6I:0tli�[ciii ,7rf7JMNI V ;RM,
Signed By.
Approved By
Rough -In Date
Tel N
Final Date / ��
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F R STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
N
K-')
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
0
CHIMNEY 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 N
No ( )
3.
Has no foreign objects lodged within
Yeilq
No ( )
4.
Is securely supported .
Yes I�A
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes
No ( )
6
Has total heating BTU's of � lo
All other BTU's 3
TOTAL BTU's J > o
7.
Has a liner been provided for water heater
Yes n
No ( )
8.
Has combustion air been provided for water heater
Yes
No ( )
N
K-')
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
0
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS 522 66TH AVE NE
PIN 143024130018
LEGAL DESC RICE CREEK TERRACE PLAT 2
LOT 4 BLOCK 4
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
VALUATION : $ 2,425.00
PERMITNO.: 2004-00394
DATE ISSUED-
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL SOFFIT VENTILATION TO MEET THE STATE BUILDING CODE.
INSTALL SOFFIT & FASCIA.
STATE LICENSED CONTRACTOR 1
APPLICANT
NORTHERN EXPOSURE EXTERIORS
9097 S HWY DR
LEXINGTON, MN 55014 -
OWNER
SULLIVAN MARILYN K
522 66TH AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application 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 does not presume to give authority to
violate or cancel the provisions of any other state or local law
regakating constmo4errVfthe performance of a L% action. i
Bldg
BUILDING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
Permit inspection dards
Will Be Nlalled
TO HOMOnner To Post
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
83.25
2.43
1.21
5.00
91.89
Mar 29 04 09:00a Northern Exposure 763-783-1811 p.2
1004.0 �,_Mq cc e 415?�T
NEW l I CITY OF FRIDLEY Effective 1/1/2004
ADDN [ j 5431, University Ave NE, Fridley. MN 55432 (763) 572-3604 Bldg Irisp
ALTER j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: Ce Lr� A-R.,-e—
Legal Description:
Owner Name
a &Address: Cly' 1 1\[Iii SU l l l 1LU'� Tel. #�Qg -R73 -zl0-77
Contractor [v iJ�7 fV rn_� T%%_°;, r�� 5 �t't_ II -) e— MN LICENSE
Address: H7� 14 715_/;/f Tel. #
Attach to this application, a Certificate of Surrey of the
lot, L%tl'I the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER: he -n
DESCRIPTION OF IWROVEMENT
VVMh Height Sq. Ft.
Width Height Sq. Ft_
Width
Sq. FC
Construction Type: 1��"Si r J Estimated Cost: S �PL6)�
priq ej- '�
Driveway Curb Cut Width Needed: Ft + s Ft- Ft x $ = $
DATE: APPLICANT:���
m
Call (763) 572-3604 far Permit Fees if mailing in application_ Fax b 763-671-1297 if using credit card and we will call
YOU for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CRY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1.000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
AIL "A" or Alt. "B° Above
$450.00 Conservation Plan Review
Fee Oeternined by Engineering
Agreement Necessary [ ) Not Necessary [ i
STIPULATIONS -
4
ITY OF FRIDLEY iNSPEG 1.IUN 1JIV.
.31 University Ave NE
idley, MPI 55432 =
K"ARM FOX 179M 571-1287
APPLICATION FOR PLUMBING ARID GAS FITTING PERMIT-Uo&- 0063
.UMBING FIXTURE RATES: NO. RATE TOTAL
.w Fixtures
d Opening, New Fixture
;er Dispenser
ow Off Basin
itch Basin
lain Water Leader
imp/Receiving Tank
ater Treating Appliance
later Heater -Electric
titer Heater - Gas""_
as Range"
as Dryer"
ick Flow Preventer Required ( )Yes () No
Type
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
$15.00
:inspection Fee $50.00/Hr
-t. OTHERS AND/OR REPAIRS AND ALTERATIONS
125% of Value of Fixture or Appliance
State Surcharge $-.10
TOTAL FEE $ 35.50
JOB ADDRESS a a ' �� l o` n t -
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.
DATE: 01 d)I'� s , 20 n
OWNER
BUILDING USED AS
ESTIMATED COST c PERMIT NO.
PLUMBING COMPANY_ LOW
SIGNED
TEL N0. b)3, " 7
Rough -In Date Fatal Date
OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE