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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 4 215 Date: ............T....._...._............_............._._........I . ---------------------- Owner: _..--- J. --r . ..... Owner: ..... .................... .............. .................... ............ _-------------------------------- Builder ._...... Address............. .... _............................ ... _--- -------- _......... _--- ---.._..._----------- Address..................•------.......................................... CATION OF�BUILDING No.....4.....4.......-/... Street ....._..(C�.. -- ......- %..............._...------..... Part of t ........................ ....... _........ ..... ....... .... ..... __ _ Lot ............. -/............... Block ............. ..,,1... ......... _......... ....... Addition or Sub -Division........... _.........._..---...._............. _..e ... ...... r v r e• Corner Lot .................................... Inside LotX ........................ Setback ....-... .............. Sideyard .. �%...._�...........�.............._.�.. Sewer Elevation ...... ............. _....... _.... _............. ...................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ... ... ............... _......._............. Front 7..1_. Depth _ Height./ Sq. Ft./ O..JZ Cu. Ft. ����"70 .... {..................... Front .'o.� Depth .� LHeight l.6.-.'�...'Isq. Ft. 3Z....' Cu. Ft. SQ...9. 0 Type of Cons ction........................................................... Est. Co ......l......�.Z...J�_ To be Completed ...... ............. .............. .................. In consideration of the issuance to me of a permit to construct the bui described above, I agree to do the proposed work in accordance with the description above set fort mpliance with all provisions of ordinances of the city of Fridley. :fie.....-------- .. . .........._........._.�� ...._ ..._......._... In consideration of thea p yment 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 ofan�gf the provisions of said ordinances. _ ® A / / 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. Application 4br Power Pimb and Healing, Cooling, Ventilation. Re/rigerallon and Air Condhhmlkg Systems and Devices PARTIAL RATE SCHEDULE GRAV*TY WARM AIR: MTN TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace .. 6.00 t Repairs & Alterations—up to $500.00 600 $ _ Repairs & Alterations each add. $500.00 3.00 $_____ NECK WARN AIR Furnace Shell & Duct Work to 130,000 BTU ........ ..$10.00 $ each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... 3,00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Kot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ — over 3 gal. per hour—See Fee Schedule GAS BURNER cup to 199,000 BTU) 8.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ Z00 $ - Additional Fixtures x .75 $ Gas Range to 199,000 a$ 5.00 $ AIR CONDETiONEItG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL %�- 07.5 7 S Sae Fee Schedule $ TOTAL FSE ,s_ (SURCHARGE $_.50) Dept. of HNaos. ®Phone 8880.3M 6 A19 - City of Fridley: The undersigned hereby makes application for a permit for the work :hereir 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. Fridley, Minn 6' 1g7 r Find of Building Used asTo be completed about__ �+ 1 -7 - Estimated Cost, $_-__0_?0P Old New. Building Permit No. Permit No.�l DESCRIPTION OF WORK HEATING or POWER PLANTS --steam, Hot Water, Warm Air—No Trade Name Sire Ne - Capacity Sq. Ft F..D R BTUHp Total Connected Load-0-1—It, Kind Of gye a� BURNER — Trade Name Cdt�t�o Size No capaci 13TU HP (REMARKS—OVER) SUBJECT P City of Fridley 13533 AT THE TOP OF THE TWINS PERMIT t BUILDING RECEIPT NO. `L------ COMMUNITY DEVELOPMENT DIV. c—jJ r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 5/21/76 JOB ADDRESS 881 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 $X 1 Meadowlands SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Michael J. Gustafson 881 - 66th Avenue N.E. 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, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 18' x 16' Addition back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide h inch Tye X sheetrock under siding on west wall. No openings to be in west wall. S-EPERATE PERMITS REQUIRED FOR MIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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. $5,000 2.50 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- STRUCTION OR THE fERFORMANCE OF CONSTRUCTION., 20.33 PLAN CHECK FEE TOTALFEE a - $22.83 SIGNATURE OFC , RACTORORAUTHO ED AGENT (DAT) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �( BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) V- L ond Plonniny ta'd strwy,- Soll.5 Te5ljly ENGlNEF.Pl`-P!Gl, INC. ciW1 b- Alcrnrcpal Salo f 11�06; r &yff wet -if byncerS Survep,,*,s N JI t.77, /* survey e b,,v,,,d,,r;es abor e��,W lard, cat fierebq cerliry is a Prue and eor(tcl represenlof ion ofa bye e• -V �vqizvly "I'all pxtron. eldoll jcwr,4me,?1s , if amj. fmr, or *7 said lard. A s �.vj yed ky me 1. dory A.0 P SUBURB" LENGINEERIA16. INC. I r r by;lieers APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S BUILDER: ADDRESS : O — Vb 7' I/� ADDRESS: NO:. STREET: 6 T� "y ✓E: LOT: / BLOCK: / ADDITION: CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant, attach to this form Taco Certificat^.s of Surnaey of.Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: A,40177 ) Front: r� ' Depth: 14' Height: � Square Feet: 07 �0 Cubic Feet: %O 3 Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: To Be Completed:-' _- .'V v 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 de#lares that all the facts and representations stated in this application _'apq true and correct. D SIGNATURE: / (See Reverse Side For Additional Information.) �O 't' SUBJECT PER City of Fridley 19100 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI O. COMMUNITY DEVELOPMENT DIV. _ .9 r PROTECTIVE INSPECTION SEC. ®�%C 1 = � CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/5/87 JOB ADDRESS 881 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael J. Gustafson 881 - 66th Avenue N.E. 571-3948 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 J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 24' Detached Second Accessory Building 9 CHANGEOFUSEFROM TO STIPULATIONS Special Use Permit #87-08 approved 5/18/87 with following stipulations: Garage facade subject to staff approval. Driveway to be at least three feet from adjoining lot. Driveway slope to be reduced as much as possible. Owner to secure Northern States Power Company authorization of garage placement prior to construction. WARNING SEPARATE PERMITS RENTED FOR S�fiote d4ggin., call IQcal u,, JjjLs WIRIP�G, I- � , Fy ��VIP,, Ai�O 8lC°`lS. TELEPHQNI -� ECTRIC -GAS Etc. REQUIRED BY LAW 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 $3.79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,582 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- $68.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $72.29 S SIGNATURE OF ONTC ROR AUTHORIZED GENT ID TEI • WHEN PROPERLY V ATED THIS IS YOUR PERMIT IX SIGNATURE OF OWN IIF OWNER BUI I IDA EI BLDG INSP ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Legal Description: �O % % Ldp Nys Z&OL Owner Name & Address: C9 Tel. # Contractor: -51fAi Tel. # 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 i GARAGE AREA: Length ;ZA Width DECK AREA: Length �Width OTHER: �iD f�/ de -,—c Height Height Hgt/Ground Sq. Ft. Sq. Ft. S� Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback p ` v Type of Construction: %4002) M Estimated Cost: $ -- -Z Approx. Completion Date: n1©• Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: � -5 APPLICANT: 9�Tel. # r7l -39 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge iif$ STIPULATIONS: 8 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Michael Gustafson May 29, 1987 881 - 66th Avenue N. E. Fridley; MN 55432 On May 18, 1987 the Fridley City Council officially approved your request for a Special Use Permit', SP #87-08, to allow a second accessory building on Lot 1,'Block 1, Meadowlands Addition, the sane being 881 - 66th Avenue N.E. with the following stipulations: 1. Garage facade subject to staff approval. 2. Driveway to be at least three feet from adjoining lot. 3. Driveway slope to be reduced as much as possible. 4. Owner to secure NSP authorization of garage placement prior to construction. If you have any questions regarding the above action, please call the Planning Department at 571-3450. Sincerely, Janes L. Robinson Planning Coordinator JLP/dm Please review the noted stipulations, sign the statement below and return one copy to the City of Fridley Planning Department by une 12, 1987. Concur with iction taVA or rol—vu a W- michael Gustafson LondPAmwllny 370hfwu'sy#YAT ladstrwy�„y &67W�Vlls 21. SOilS TO67Y ENGINEERING, INC. Afmr-wla CIVI/ & uwk5pa/ bymm�f pr,5 Enyineers Sup ve ON Sim3p 727, /hereby cer4i /hot kis /S- a /rue Of1d 00rMd fejaTSedq1k0 V.P4 swvey Ox bwqdrr;es 01x Y,6dx- A.sr,4&d 1wd, aid #Wlocation 0're// &Jvlff, Md011 risible mawthme-115, tf&y, fm or wimid /and.. As surveyed bYnv hks-- doy SU6U.QgA.Al Lr14C71NEF1?1N6, INC. "a-9tears Fr Surreyom J. /hereby cer4i /hot kis /S- a /rue Of1d 00rMd fejaTSedq1k0 V.P4 swvey Ox bwqdrr;es 01x Y,6dx- A.sr,4&d 1wd, aid #Wlocation 0're// &Jvlff, Md011 risible mawthme-115, tf&y, fm or wimid /and.. As surveyed bYnv hks-- doy SU6U.QgA.Al Lr14C71NEF1?1N6, INC. "a-9tears Fr Surreyom CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE 'A PLUMBING FIXTURE RATES: NO. RATE a New Fixtures q S 5.00 U Future rixtures f~t m S Wd Ler S 4 Beer Dispenser e S 4.00 }}��� p -.4 a S 5.00 S Catch Basin w G Rain Mater Leader Heater S 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S Water Treating Appliance s $ Not water Heater S 5.00 $ Gas Range $ 10.00 $ Gas Dryer a'41y $ 10.00 o 8 :.Hy�� 1 ) Type c 5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance 1 0 4 w u z (515.00) 0 ;as 'leC FA u v�1 o0 3 l7 let 2nd Ird 4th (R) - Future Connection Opening Connected with Sewer (•) - Now Fixture, old Opening water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 S Future rixtures S 3.50 S Old Opening, New rixtuT e S 1.50 S Beer Dispenser S 4.00 S Blow Oft Basin S 5.00 S Catch Basin $ 5.00 $ Rain Mater Leader S 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 $ Not water Heater S 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( i No 1 ) Type $ 5.00 5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance 5 State Surcharge S 50 Reinspaetaon Fee $ (515.00) TOTAL FEE .51/1=0 Effective Hay 1, 1990 Job Address !d 17 Department of Buildings City of Fridley Tel. 1571-3450 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 ttr�ue and correct Fridley, Mn.DC ! d , 19 OWNER I .Yl ('I 1 KIND OF BUILDING USED AS 1 TO BE COMPLETED ABOUT b' ESTIMATED COST V®Cf/J : (J 0 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company �/ J6..'q Signed By Tel. No. + (( ROUGH INSP. Date FINAL INSP. 4 91 Date APPROVAL FOR PERMIT t1INIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT ERMIT 0. City of Fridley iRECEI AT THE TOP OF THE TWINS BUILDING PERMIT 1 , COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/17/92 JOB ADDRESS 881 - 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike/Dorothy Gustaf. -son 881 - 66th Avenue NE 571-3948 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stordahl Construction 6821 Penn Ave S Richfield M 55423 866-6670 2917 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 Ck ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 161 x 12' Deck; install patio door 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 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 $6, 500 $3.25 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- $90.00 Fire SC $6.50 STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE - /—/7-12- � ')-/7— License SC $5.00 $104.75 SIGN f FCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN P-9 OP Y VAL AT THIS IS YOUR PERMIT DG IN P /6 SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI c NEW. [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 71,1 dI/ Effective 3/l/92 Owner Name & Address: Al,�)F f,00674$ GC1 .SO71 Tel. #-5-7/ 3 Contractor: S7O Ldo Li 1 (? G 4 STS cla 21fz v�, MN LICENSE Address: Aen �i OU e S =- Tel. # 70 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 Z 2- Hgt/Ground 7i Sq. Ft. OTHER: �k , � /��� Z",a 600 j^ Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 6,500 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # gl6 —9 7� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow $ 901 ®® Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ to 4 . ! � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ . ] Not Necessary [ ] 3F :F Z5 I U ts michael Gustafson LondPlanniny JM Mum* SyriSt Alf. Lard Sirwrly AftnavIvIq 21, soiI5 T 61;y ENGINEERING, INC. Afinm-wla civil &- uwkal Sam 1 ",06.6 Engineers ��eers Sup veyOr.5 CwmptilfActe of swpveF- A"-1 01 Ov. I Z J -'Z- A VI lhavbi( cerhAy lbal lhis n' a Irue and wrmd represedatkn OP swvey 40,*&wndm:tes qC11w Ape A ' sa4" land, and DOWlozqbma,P611 6v;1d;ys, hkrvon, &-doll risible mawthme,71S , /'� , I fmi or w said land. A S surveyed by 1w fias- doff SU8 UP 8AA1 ENGINEERING , INC. ;#7eer '14 Z 1/2. Al. Z J -'Z- A VI lhavbi( cerhAy lbal lhis n' a Irue and wrmd represedatkn OP swvey 40,*&wndm:tes qC11w Ape A ' sa4" land, and DOWlozqbma,P611 6v;1d;ys, hkrvon, &-doll risible mawthme,71S , /'� , I fmi or w said land. A S surveyed by 1w fias- doff SU8 UP 8AA1 ENGINEERING , INC. ;#7eer i t t I f 6 - -- ---- 3 -- �-- - __ _ �� �=- - - _ �--.� -- r � V-iC / p P11\�' 5 F H OVER ALL ED EXTERIOR PENINGS )9A4. 57',6P S Q E C441AL AN -Poo vrpc- GR%PA E A(A NaR/Et L ', P21,cRO1-RM Ve E5 A67`' 71-Vwr -12116 IR 66A05- 4G, .c r,� 3-zXI21.5. 2 ,2k1gs r] _I ! DECK RA Lli .`-G 366" fV'ii '`3. [ :IiJi! T 6" MAX. 1 PAvINIG3 P�P CONST. WASTES DAtt_Y This Plan Must - Be Maintained And - STORE IN AN APPROVED MANNER Accessible On The ALL REFIJS.E MW Construction Site CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE: APPLICATIONS FOR POWER PLANTS, AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30,00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace.) $ 10.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10,00 $�_ *Air Conditioning - All Sizes $ 25,00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge 50 TOTAL FEE MINIMUMFEE FOR ANY FiEl�TING/COOLINGLVENTILATION 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, Effective On March 1, 1996 JOB ADDRESS $gI —L-0 ik Oi 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. A _ y ' L4 ,1 996 OWNER I Y tl BUILDING USED AS ESTIMATED COST _('�� PERMIT D rSCRIPTION OF FURNACE AND OR BURNER No, of Heating Units Circle One Trade Name BTU_ Fuel HP (Steam) (Hot Water) (Warm Air) _ Size No. EDR Total Connected Load Burner'rrade Name Size No, BTU 1 HP EDR' , Ale,o— HEATING COMPANY _ cine Qlnef Signed By 4��_ cf-, &--Tel No. -� R— Approved By',� Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHMINEY 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's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes( No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: a SUBJEtr PERMIT NO. City of Fridley 28464 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEV 55432 NUMBERREV D10 PAGE OF APPROVED BY 612-571-3450 910415T 28 98ATE 10B ADDRESS 881 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gustafson 571-3948 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Westurn Cedar Supply 705 N ffla 169 Plymouth 55441 541-0304 20014207 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 O NEW ❑ ADDITION O ALTERATION 9 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 28 S 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 OCCUPANCYLOAD 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 DWL,G. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2399 $1.20 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC C RGE PROV SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR TION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fie SC $2.40 lam PLAN CHECK FEE TOTL EE S Lice_/ $5.0 $ .35 SIGNATURE OF CON'RACTOPORAUTMORIZEOAGE IDATEI EN P OP A DA D HIS IS YOUR PERMI BL INSR MATE SIGNATURE OF OWNER,IF OWNER BUILOERI IDATEI a �`iEW' ' [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: uL, /1J� Legal Description: Owner Name & Address: (USTi7 ��S`OI✓ Tel. # S'%/- 3 i AP Contractor: zx)r�STIJ-t% (' Q,� (�y��L� MN LICENSE Address: iGLr ilii lfuJ /Ylf/�%�f ; /YI,t/I sm�& Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Length Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Estimated Cost: $✓ ��/l, 00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: 0-)A+�'�Tel. CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ J ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 88166 AVE NE 143024140062 MEADOWLANDS ADD LOT 1 BLOCK 1 BUILDING RESIDENTIAL RESIDING PERMIT NQ': 2004-01020 DATE ISSUED: 06/30/2004 VALUATION : $ 2,975.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE. APPLICANT GARY & LORI GREINER 881 66TH AVE NE FRIDLEY, MN 55432 OWNER GARY & LORI GREINER 881 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 wort 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 regulating ccknstruction or the performance of construction. W, BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.98 STATE SURCHARGE, VALUE 1.49 TOTAL 87.72 PAID WITH CHECK # 10727 CFPAR ATF PRRMTTC RPOTTTRFTI PnP WORM OT 47PR THAN T)PgrRTRPn AROVF 7 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 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: S: 2� mX t c� Legal Description: Owner Name & Address:1'tar%, �Ar)r '► AE 6 nP_ c Tel. # '(o ,571 �o 7d 5 Contractor. 'l2 L MN LICENSE # Address: :38 1& A Tel. # 76 3 S7 677c?� LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. R DESCRIPTION OF IMPROVEMENT lJ Length Width Height Sq. Ft , Length Width Height Sq. Ft. DECK AREA: Length OTHER: Width Hgt/Ground Sq. Ft Construction Type: — Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: — L9 APPLICANT: /--1 CIL n 2f— Tel. # -70?--�,5 71 67,;LS 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 TOTAL Fee Schedule on Reverse Side $ 65% of Permit Fee $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1350 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 [ J Not Necessary [ $ 8�. / ®Z STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 5"%L -36U4 YAA: (763) 571-1L57 ADDRESS : 88166 AVE NE PIN : 143024140062 LEGAL DESC : MEADOWLANDS ADD : LOT 1 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01412 Ajq�'-1 DATE ISSUED: 08/24/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. 1;1 # 0-100 AMP CIRCUITS APPLICANT INNOVATIVE ELECTRIC 14006 NORWAY ST NW ANDOVER, MN 55304 OWNER GARY & LORI GREINER 881 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 worl 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 regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC AMP SERVICE FEE ELEC CIRCUIT FEE (0-100 AMPS) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 12085 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 30.00 6.00 0.50 36.50 Page 1 of 1 Stromberg, Stacy From: Hickok, Scott Sent: Friday, April 21, 2006 4:39 PM To: Stromberg, Stacy Cc: Jones, Julie Subject: RE: 881 66th Ave. Hey Stacy: Both Julie and I have viewed the driveway now (independently) and concur with the position that the driveway is paved. It has a bad pot hole at the point where the driveway meets the street, however. That pothole has caused dirt and erosion to wash over the driveway and give the appearance that it is unpaved. On a side -note, I'll bet the garage floor gets flooded every time it rains, based on contour of land,location of the garage, and pitch of the driveway. Scott From: Stromberg, Stacy Sent: Wednesday, April 19, 2006 3:10 PM To: Jones, Julie; Hickok, Scott Subject: 881 66th Ave. Hi Scott & Julie - I've explained the situation with this address to Julie, so I'll just give a brief description now. They have an unpaved driveway that Brian Strand found for us. It's their 2nd driveway, which goes to the backyard to a 2nd accessory structure, which they received a SUP for in 1987. At that time it wasn't stipulated that they needed a paved driveway. Anyway, the current owners purchased the house in 2003 and I've drafted a letter to them to have them contact me with the schedule to get the driveway paved. However, today after my doctors appt. I drove by and it appears that some of the driveway may be asphalt, but in very bad condition. Before, I send the letter, I was wondering if either of you would mind driving by sometime in the next couple days to see what you think? The property is right off of Mississippi Street, north on Able Street. Thanks a lot, I appreciate it! stag stromberg, PLavLwer Gtr of FrwL � X0431 i,tw�versLt� AvevuRe NE Fvi o[ Lei MN 55432 P In o v -e : 763-572--1,595 Fax: 703-571-1297 strow�.bercls@c%. fr�o!(,e� .vu.v�..us 7/5/2006 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 1, -- oC,) 'D 9 YOUR E-MAIL ADDRESS SITE ADDRESS G THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: L. o e- OWNER/ TENANT ADDRESS: 22 J 64, 6A A e /V 45 CITY_(' r'(j� STATE M ZIP J: a PHONE:� ,-r, 3 _ / q F CONTRACTOR NAME: Wo r -' CJ (i SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS:2L/O/ CV �! Avg 0ECITY r���Qy STATE/ ZIP�� INSURANCE PHONE - FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY 13 TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK 'W .L, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER* OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINK/LAV 'FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL WATER SOFTNER ($12 _ —CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREV. $1 1 DISHWASHER —LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER ,-k,^i h � �} -p' 4 �: •a �Z yg •� k.. ,rn*, THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a.plumbing 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 application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. / �y SIGNATURE OF APPLICA �� PRINT NAM&j �6nn "c- /q, /J/ S DATE VOCAL& City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 Building $35.50. PLUMBING _FLOOR DRAINS Permit No. J29 --Odqk Inspections _ CLOTHES WASHER RESIDENTIAL APPLICATION _ DISHWASHER Received By: z5 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY Date Rec'd: -7 25 EFFECTIVE 2-19-09 DATEle-o YOUR E-MAIL ADDRESS SITE ADDRESS....? p t/ CrI THIS APPLICANT IS: 0 OWNER NTRACTOR PROPERTY NAME: p r i (-c-_ i r7 e r - OWNER/ TENANT ADDRESS:_ g� % �/� CITY rI`d/e [� yt� STATE/��►P.Soi PHONE: CONTRACTOR NAME: _ Pry 'yr b r`r�/ SUBMIT A COPY OF YOUR STATE{ STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS-% vo% � BVI Zed � -� 4�c1 e_ CITYP r "Cel e �j STATEM AC ZIP��('13 -;2- INSURANCE PHONE �in �` %�i� " /�/ % FAX PERMIT TYPE SINGLE FAMILY 13 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW #EPLACEMENT DETAILED DESCRIPTION OF WORK (,( aZ� e r^' S0 -T ig l7 e` - FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. $35.50. _ BATH SINK/LAV _FLOOR DRAINS _ BATHTUB —GAS PIPING (NEED CITY LIC) _ CLOTHES WASHER _ KITCHEN SINK _ DISHWASHER _ LAUNDRY TRAY FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE THIS 1S AN APPLICATION FOR A _ SHOWER _SWIMMING POOL _ WATER CLOSET _WATER HEATER ($35) WATER METER '-NOT VALID UNTIL PROCESSED _ WATER PIPING 7fWATER SOFTNER ($ BACKFLOW PREY. $1 FOR IRRIGATION _ OTHER I hereby apply for a plumbing 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 application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work/ which requires review and approval of plans. SIGNATURE OF APPLICAIC ��t�t�ic-2_ r _O_ PRINT NAME J e- l�5 DATE�`�' D9 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977