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PRE 2010 DOCSCity of 'Fridley, BE BUEMING PERMIT N? (:5:64�) . • Address Address d lv off/ 6, LPJCATION O DING No.t/►� StxeetPart of ',,." Lot Block A clition or Sub -Division . Corner Lot Inside Lot Setback ____ Sideyard 1 Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING f T Used � _� lr .tLc� Front Depth Height Sq. Ft. Ca Ft. ort Depth —! Height Sq. Ft. Cu. Ft. e. Type of Construction Est. Cost `` To be Completed _ In consideration of the issuance to me of a permit to clonstruct 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. In consideration of the payment of a fee of $, , permit is hereby granted 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 tune upon violation of any of the provisions oY said ordinances. "► t 4�� Building Inspector NOTICE: ffiis permit does not cover the condruddon, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to NO the Building Inspector for separate permits foe these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, M DUMOTA f Owner's Name Builder Address Address No. Lot P Corner Lot / _Inside Lot Setback Side -Yard LOCATION OF BUILDING SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To benused as: 14 DESCRIPTION OF BUILDING Sq. Ft. i L� ~� Cu. Ft. / J- T Front Depth Height Sq. Ft. Cu. Ft. Type of Construction-_,, , Estimated Cost 2:5 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 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. DATE__Z11 ,� / la /° SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures y ee a� gg 3U Estimated Cost, $ O� a zr� Z u� S� w V <3 �U' w �U' ? �O • R • N WATER HTR. GAS ELEC. Base Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ i �+ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 0 , ?� ��� � -L- New Ground Run Old Bldg . ............ 1st i ROUGH FINAL FINAL GAS FITTING FEES: NO. RATE TOTAL $ z 6 1st 3 Fixtures .......................... x $1.50 = 2nd x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 3rd 4th • Future Connection OpeningsI New Fixture, Old Openings Connected with Sewer Cesspool Dept. of Bldgs. Phone SU 4-7470 T -Q- '5' q � City of Fridley: The undersigned hereby makes application for a permit for the work beret specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this appli tion are true and corr 15- Fridley ,,,�}Rinn._ Owner Kind of Building Used as To be completed about PARTIAL RATE SCHEDULE Estimated Cost, $ Old—New. Building Permit No\,'S--6 Permit No. PLUMBING FIXTURE RATES: NO. RATE T9TAL �. Number Fixtures...................... x $1.50 $/11 ` Signed ® �. Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 0 , ?� ��� � -L- New Ground Run Old Bldg . ............ x 3.25 $ ROUGH FINAL FINAL GAS FITTING FEES: NO. RATE TOTAL $ z 6 1st 3 Fixtures .......................... x $1.50 = Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE e A a 42 2M . j Appricatian for Power Plants and Heating. Coaling, Ventilation. Refrigeration and Air Conditioning SystenEs and Devices 16041 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 $ 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 SheIl & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR 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 $ GAS PIPING (Up to 3 Fixtures) ........... • �� ............... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ o REMARKS: IN l Xbjl VL .L`.1 j. 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. Fridley, IVrinn (y 2 A . _ /I .!3r t� Owner Kind of Building 195- 195— 0 Used as To be completed about Estimated Cost, Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWERteam, Hot Water, Warm Air—No Z Trade Nam - Size No- 640-&, Capacity 40-&- Capacity /e--2ZW S&L ED. R BTU H.P. Total Connected Load 't /m Kind of1�7- Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.DR BTU HP. Sign ,PERFECTION EATING CRMpANY, INC. By. 299640tjitm. • 11 PO5T IM -8-58 Business k�g61S $ MINNESOTA Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL G 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 ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 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 $ 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH— OUGH FINAL— FINAL See See Fee Schedule TOTAL FEE $ c 6 Dept. of Bldgs. Phone SU 4-7470 Location G Y G - �1/1� /� nr (ey Cf . A/, t 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. Fridley, Minn_ s� �T d Z-® 19 Owner IFA V S n. a ni .ra W Kind of Building An e Used as IV ee � I L To be completed about Estimated Cost, $ �® G Old—New. Building Permit No� E Permit No. OF WORK HEATING or POWER PLANTS- Steam, Hot Water, Warm Air—No Trade Name I A N Size No Capacity Sq. Ft. E.D.R /S> e e (S BTU ^ / H.P. Total Connected Load V S�� 9 of Fuel / V e9'f. G't' .- KindBURNER — Trade Name_ Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe C -o ,v o • GO . B 42 2M Business Phone No. 9, 5� -'3 (REMARKS—OVER) D -M HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind No I e —No 19_ FRIDLEY, MINN. Insulation How Applied Fl I L,N Room Length Width Height II 1 F1_I n I Renm I Lenath ! I Width /,t Heiaht I v f Windows and cors—Crackage and Area 0 Height Width Height No. of Lineal 1 . Area No. of pane of pane lights of crack sq. ft. 0 t6 ® 5® PL a-� o a -d 2'&" ' B., e 1 ( 4 J I I `t 30 b Coef.1 Coef.1 Btu Infiltration a- 1.. /200 Glass Exp. wall 6 ,? 0 Glass l Ca DL -DLA -43 ( p c) fra Exp. wall se I 7t6 Floor IX10 6 Net exp. wall Int. wall / 1716 Int. wall ) 6 q9ff 9-e47 Floor Ceiling Floor I Te 1 % 3 g Total Btu. I I6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I r1•1 IC %It +D I p Room I Length Width 0 Height Windows and Doors—Crackage and Area 0 t6 o 3o Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2'&" ' B., e 1 ( 4 J I I `t 30 b Coef.1 Coef.1 Btu Infiltration a- 1.. /200 Glass Exp. wall Glass 11-00 Net exp. wall l Ca DL -DLA -43 Int. wall Net exp. wall 174 Ceiling a-® I se I 7t6 Floor IX10 6 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 1 F1.1 R Room I Length i ) Width )I Height Q Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 0 t6 o 3o Coef. Coef.1 Btu Infiltration 3 a- 1.. 3g, 1 Id -6 Glass 11-00 q 60 (5 Exp. wall Net exp. wall 174 16 VqQ Net exp. wall 0 Int. wall Floor ® Ceiling Floor ) 6 q9ff 9-e47 lbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. JI— o �- a- Coef. Btu Infiltration 3 3 a- 1.. Glass a- So 11-00 Exp. wall 6 go Exp. wall Net exp. wall < g 16 VqQ Int. wall Ceiling 0 Floor ® % ) 6 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI -1 OL - -I Rtnm I Length f i Width P•- Heiaht Y Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /0 34 -'il- 5 Coef. Btu Infiltration ` 3,? -7,:X..)- a...)-Glass Glass / 5,0 '6645 Exp. wall g go Exp. wall Net exp. wall < g e0 5 36 Int. wall Ceiling Int. wall Floor % 4, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I I F1.1 i? . W-, Room I Length L' Width `7 Height F Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /0 34 -'il- 5 Coef. Btu Infiltration 3- 1AP 4 Glass o go Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT PERM) City of Fridley 16 540' AT THE TOP OF THE TWINS BUILDING PERMIT r RECErPrNO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.6 0- /'--1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/26/82 I[ JOB ADDRESS 1604 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Clark ' s Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Moxness 1604 - 66th Avenue N.E. 571-5199 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Company 10107 Lakeview Drive W., Minnetonka, MN 5.5343 545-7290 RulIow 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 OX ADDITION ❑ ALTERATION ❑ ' REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 42' x 30' Garage and living area addition Convert existing garage to living area 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved on June 3, 1981 Before digging call local utilities TELEPHONE - ELECTRIC -GAS Etc. REQUIRED BY LAW SEPERATE PERMITS REQUIRED FOR WIRING, 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 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 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 $29,150 $14.58 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- $193.00 NONE RUCTION O THE PERFORMANCE OFC NSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 48.25 $255.83 SIGNA URE (5F CON CTOROR T ORIZEDAGENT (DATE) WHEN PROPERLY VALIID�DATttED THIS IS YOUR PERMIT �`,iy� 1a&L BLDGI4 as OAT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATI94 FOR RESIDENTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) ADDRESS: %LI- ell _ 6 G ft TEL NO: 6-7 moi - n, BUILDER: ADDRESS: s 77M/ TEL NO: Construction Location STRMT NO: �� © STREET: /9 LOT: BLOCK: ADDITION: Ola-lh S /7d Corner Lot: Inside Lot: Setback: o0- r� Sideyards: 02 Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION OnAe"r% Front: T .:Z— Square . Feet: Uitl� C�A.a� Front: Square -Feet: Type of Construction: To Be Cbmpleted: ,�vr / Depth: Height: 1,57,W Cubic Feet: Depth: Height: Cubic Feet: Estimated Cost:�— Alt. A Alt. B Q Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Tile 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 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: 3 — o,,-- SIGNATURE: Stipulations: pt 2 r c, 8:3 vAaI 44;c ' att-OA T-0 6-341 Gam- F"We� VhgQ U iAAA • 3S 'IL 16 6Aa.ncit sQAAo 'LS'r® Zv Rr-�N-r' Yroo u,111-0 ► '?�q Tv 30L- �AaAGI z 4)c -66-m u� Co33 41 ui (4 1j,9Sq.R1 100, 16'x. 4,3o = ZZ co 19' 3;, 1q. Sv Z CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERi'ITS (New, Alterations, Additions, or Repairs) OWNER:BUILDER: ADDRESS: Ib - �oi© C�t.�-�. ADDRESS: TEL M0: TEL 110: Construction Location STRt-T NO: lg 0 STREET: l /0 (ppC� 1 e 1-1-2 6 LOT; BLOCK: ADDITION; Effective Aug. 1, 1961 Corner Lot: Insiac Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. Front: DESCRIPTION OF CONISTPUCTION Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Tb Be Obripleted: Estimated Cost: $ Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: .5' S ,-Q s SEE PEVFRsn SIDE OF SHEET . lbe undersigned hereby makes application for a permit for the %:,ork herein specified, agreeing to do.all Mork in strict accordance with the City of Fridley Ordinances and rulings of the Delkzrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MTE: ,I() 16j SIGNATUIE: Stimulations: 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 S Future Fixtures S 3.50 S Old Opening, New rixtu-re S W S Water S 4.00 S Blow Off Basin S 5.00 S •ci e S 5.00 a w i e' S Hydraulic Valve Heater 5.00 5 Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 g C kc 4, �yy S Gas Range S 10.00 S 'lec S p S rJ r ) a A o $ a e a u 4 a a 3 v H u a A a Ii o w h w u 3 3 O :as let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer V) - New Fixture, old Opening Hater RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 S Future Fixtures S 3.50 S Old Opening, New rixtu-re S 1.50 S Beer Dispenser S 4.00 S Blow Off Basin S 5.00 S Catch Basin S 5.00 S Rain Mater Leader i 5.00 S Hydraulic Valve $ 5.00 5 Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 g Hot water Heater $ 5.00 S Gas Range S 10.00 S Gas Dryer S 10.00 S Back Flow Preventer Btquired. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS it of Value of Fixture or Appliance Reinspection Fee $ State Surcharge (515.00) TOTAL FEE Effective May 1, 1990 Job Address //,/ 0 7 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 true and correct OWNER KIND O USED A TO BE COMPLETED ABOUT Fridley. Mn. 19 50 ESTIMATED COST OLD NEW BUILDING PERMIT NO. ERMIT NO. �D Company ) /"V Signed By ,✓I�y�� Tel. No. ROUGH INSP. Date FINAL INSP. to APPROVAL FOR PERMIT ?11NIM04 FIX FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT P.EqMIT City of Fridley 20665 AT THE TOP OF THE TWINS BUILDING PERMIT k6QEIPT N COMMUNITY DEVELOPMENT DIV. ��: ------. PROTECTIVE INSPECTION SEC. 3 yi3 r � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 11/13/90 JOB ADDRESS 1604 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Clarkes Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken/Doris Moxness 1604 - 66th. Avenue N.E. 571-5199 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Skyway Quality Homes 8025 Garfield Street N.E., Spring Lake Park 55432 784-5464 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 IR ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Finish Basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. City- Zoning Code prohibits the rental of an apartment unit in a single family dwelling district. 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 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 $16, 950 $8.48 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 PROVISION F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $180.00 TRucOV' N THE PERFORM OF CONSTRUCTI PLAN CHECK FEE TOTAL FEE $16.95 $205.43 SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENT IDATEI WHEN PROPERL V T D T I IS YOUR PERMIT INSP f1ATE SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: 1604 4 Legal Description: L -e 1 CLAg-" hAl (70ar Owner Name & Address: Kc0 ��� Is ()') 0 Tel. # !;-71 - S Contractor: a u h(. i &MGs Tel. Address: kr, a-�s G lw-� OL -3 k-) ---w , lk Attach to this application, a Certificate of Survey of the lot, with the proposed fiction drawn on it to scale. LIVM ARM: length Width Height Sq. Ft. GRID E AREA: length Width Height Sq. Ft. DECK AM: Length Width Hgt/Ground Sq. Ft. 07HER: {3ptseMCN� (_ 10,tI\ Corner Lot [ ] Inside lot Type of Construction: Approx. Ompletion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 1(, c S©. v 0 Proposed Driveway Width If New CpeqXrj Is Des' Ft. $ $ W' + 6' See Back Page LATE: ►1 1 113 0 APPLICANT: Y Tel. # -� 8 q - -`i 6 `f Permit Fee $ ®,U® Fire Surcharge $ � A, Jr State Surcharge $�$ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE CNLY Fee Schedule on Reverse Side .001 x Permit valuation (1/10th �k) $.50/$1,000 valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J TOTAL $ 02OE- U-3 G oClcu �1�� srIPOLATIONs :tJe , c? 90-g3 I a IISj,c)v A 0 Co VSR 'tcti fLarr.s a Am" COW V 44 f l SUBJECT City of Fridley 3 0057 AT THE TOP OF THE TWINS BUILDING PERMIT NO. � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �� e/ r PROTECTIVE �'Ji 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 8/16/99 JOB ADDRESS 1604 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Moxness 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B $ J's Construction 1556 N Snelling Ave. St Paul 55108 651-646-8943 20138623 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 29X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State BuildingA Code. SEPARATE PERMITS ARE REOUIREO 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 1 HEREBY CERTIFY THAT I 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 $2622 $1 • 31 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE F CONSTRUCTION � (� 3.25 Fire SC $2.62 /17LAN CHECK FEE T TAL FEE License S_"5.00 $92.1 SIGNATURE OFCONTRACTOR O 4 tHORiZEOAGENT iOATE, N PI r.PERLY ATED TH YQ0 PERMIT - BLDG NSF' r)A S-GNATURE OF OWNER OF OWNER BUILDER, (DATE, l NEW ['1" Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 U� BUILDING PERMIT APPLICATION J% Construction Address: y% E dy's / L6,41 mA] Legal Description: Owner Name & Address: k Ew N•uTN M0 X (&E 55 Tel. # Contractor: 8 4 .-`S & IL5+ (A A 1'61N-) MN LICENSE # Address: f 'J-IiIa !o � G V) et't i nes ffI-l0 9Tel . # 4O 5-1- (� y(o G/ y y Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: I NC— DESCRIPTION OF PUPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length" Wid Hgt/Ground Sq. Ft. Estimated Cost: $ ; 17(-12 -� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: $� - -1 APPLICANT: Tel. #&5-)- Permit Fee $ 83, ,�S^ Fire Surcharge $ �• �, v2 State Surcharge $ /- 3 SAC Charge $ License Surcharge $ _ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ ./L STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763) 571-1287 ADDRESS : 1604 66 AVE NE PIN : 133024140008 LEGAL DESC : CLARKS ADD : LOT 1 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01810 991 DATE ISSUED: 10/06/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER MOXNESS KENNETH L & DORIS I 1604 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 construction or the performance of construction. Applicant Date Bldg Insp Date. ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.