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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 4'761 10 Date: .. _� _ ._ . V •- eta �� _ Builder Owner: ...- - _._............. __..____._._.. _..._.._..._ Address .... _..... ...... _. .___. __.. _.._ _ . _ _ -_ Address Q 1 NUILDING No. � B _..... _.. _ '.. . Street _._....._.--•--.......0!: ........ _..... Fart, of ............ Lot _----...-Q._ ....... ....... Block .....__. ._......_............ ...... -. Addition Sub -Division _. Corner Lot . ..... ........................... Inside Lot ........... jpe--001.'.°........... Setback ...... .. ...... Side Sewer Elevation....._............._............._...._..___.._--••----_.....__...._......._....____.. Foundation Elevation DESCRIPTION OF BUILDING Toj§e Used a7:,, a Front .._ •-! Pepth ..:u ,� eight a.. Sq. Ft. d....i1 Cu. Ft.ta'+ W pl ,/;.�� 1. � ......... ont �'--... Depth f .�'� a ght a�..i0- Sq. Ft.....rC Cu. Ft.-....._� of Construction .. . .... .T ....�. Completed . ... Est. Cost;-..:. _..�.. . To be Com .... .............. _............._...----........ CA THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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.'` In consideration of the payment of a fee of�rmit is hereby _.......-----, Pe Y 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 ori the city limits and this permit may be revoked at an upon ylolation 4f any of the provisions of said % It Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. Owners Name Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING 2� -y /- Part of Lot Lot Block � Addition or Sub.Div Corner Lot_,,,,,,,_Inside Lot-J2�,—Set Bac SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: ��%✓`S Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 representa- tions stated in this application are true and qrect. DAM--> �� ® SIGNATURE � (A Schedule of Fee costs can be found on the Reverse Side.) C hcation for Power Pfm�ts and Heating. Coolin Ventilation Rehi 'an and �c APP 9. 9• �'� Air Conditioning Systems and Devices �p PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SSU 4-7470 GRAVITY WARM AIR: RATE TOTAL Location 7 `{ -! j A, 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 Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ - Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour --See Fee Schedule ®® GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ A GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ v Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . ......... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE REMARKS: City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ry Fridley, / 194 TI Owner / Z Dr 'Z-7" 195 Kindof Building Used as 195_ To be completed abouta Estimated Cost, $ E Old �ew iuilding Permit No. ,Pe DESCRIPTION OF WORK 1115 HEATING or POWER PLANTS—Steam, Hot Water Warm:Air:—� / Trade Nam 1, ef-4 Size No- Capacity Sq. Ft. E.D.R ® BTU H.P. Total Connected Load ® Kind of Fuel BURNER — Trade Name_��i '( Size No - Capacity— o Capacity Sq. Ft. E.D.R- 1 /2 BTU H.P. Signed tA V � Ilk /3 AMP -11 p0s- lm -12-58 Business Phone No. 0a City of Fridley Application for Plumbing and Gas Fitting, Per* Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures -go NO. RATE TOTAL Number Fixtures ...................... x $1.50 $-222 0 b Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ (9 ...... Z x 2.00 $ 2 ' O d WATER HTR. New Ground Run Old Bldg. ............ x 3.25 $ g NO. RATE TOTAL 1st 3 Fixtures .......................... g $1.50 $ S U Additional Fixtures .................... x .50 $ 8 S. $ 'd O �n aU' o F N GAS ELEC. Base ist 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer ❑ Now Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $-222 0 b Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ 2 ' O d New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... g $1.50 $ S U Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE v 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, Mnn 1016 G" 3 1 19kO0 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old jt!ew Building Permit No -1761 Permit No. Signe By Business Phone No ROUGH �i 3 FINAL da 2M 7-59 q . Ar SUBJECT RZOMMIT NO. City of Fridley2923 AT THE TOP OF THE TWINS BUILDING PERMIT • RECEIPT NO. `L COMMUNITY DEVELOPMENT DIV. INSPECTION /Lf r � � PROTECTIVE SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/l/75 JOB ADDRESS 28 - 66th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE No Ralph Heidt 28 - 66th Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 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 EX ALTERATION❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install patio door and cement patio slab 9 CHANGE OF USE FROM TO STIPULATIONS 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. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 .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. $6.00 _i `� PLAN CHECK FEE TOTALFEE , �Y-/ 7 -Z4 LgiIGNATURE $6.50 OF CONTR f' OR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT - LJ&4AtJ 0101E 6-11 1 R BLDG. INSP. DAYE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) q . Ar APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S bum: V �4 I D r BUILDER : d V/ ; c_ ? u ,.I IlkADDRESS : � � S LS ° [� � it y ADDRESS: NO:c7� STREET: IV E ''�✓ t.� LOT: . BLOCK: CORNER LOT: INSIDE LOT: ADDITION: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: _7"'S ;" L_L :9 Ti v Don 'e - Type Type of Construction:"`PAT-1,_ Estimated Cost: $ o d To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: S"/ -7 S SIGNATURE • (See Reverse Side For Additional Information.) L' 53 -31-- —9915051 CHY Of Frldl.ay- ' Ajarlic tTan for Plum s e.ici -.Is ��=a der i� • . • Dept. of Bldg*. Phone S:•"J•3450 DESCRIPTI021 0: V1011r., Lo. -Ad— ' 28 ISE •66 Wa_v Numbs. xLtd Lnd Lecr:loa Of Ftxturas PARTIAL RATE SCHEDULE •P L M. 3111a rIXTU?E RATES: NO. RATE TOTAL Number Fixturrs•.•..•••...•••.• _— X2.0.0. IuI Future Fixture Opening . • • • • • • • • • • ------ x $1.50 $ • -•---- %Icw Fixture Old Op/ning..•. • • ••• • • • --- x 31.50 WAft4 HTA. •• x $3.25 $ Water Ifeater 'Up to 99.000 BTU) • • • • G t S • tiew Ground Run Old Btdg. • ..: • •'• • --- x ;1.25 / :1 4Ai /lir.. S - • . 1st3Fixtures •••••••••••••''•'• --•--x52 , M i u �� $ ' C:s R.;_-Ze to 10.0W BTU ........... _.---.— x $5.00 -- - E s:r I in ,�1 i1 1;•, I 2 r•Y __ _ 3:d • FL �:s Cc-.:z..w.a Cr�.c!r. sevor Q Ges. t Nav Fiume. Old ings C=7001col ❑ PARTIAL RATE SCHEDULE •P L M. 3111a rIXTU?E RATES: NO. RATE TOTAL Number Fixturrs•.•..•••...•••.• _— X2.0.0. S - Future Fixture Opening . • • • • • • • • • • ------ x $1.50 $ • -•---- %Icw Fixture Old Op/ning..•. • • ••• • • • --- x 31.50 i_.•.:. -- Catch 13asln .................... _—.. x $3.25 $ Water Ifeater 'Up to 99.000 BTU) • • • • ---- x :3.00 S • tiew Ground Run Old Btdg. • ..: • •'• • --- x ;1.25 S i:•ctrt Vla:ar H.at•ar... • #';Q • a 52.1;0 S Z S nTTING FEES: NO. RAT -.v TOTAL . 1st3Fixtures •••••••••••••''•'• --•--x52 G0 #—.----- AddIticnal Fixtures . x .75 $ ' C:s R.;_-Ze to 10.0W BTU ........... _.---.— x $5.00 L --------- City ofd -ley: The undersigned hereby nukes applcation for a permit for the.work hi specified, aCr eeing to do all work in strict acco:Ca::ce with the Citi O:dir.: and ruling of the Depar:r-elt of Buil �mr-- anahereby true rd laces t`tat a:1 the • , and repsesrr:tatlons stated in S.':is app -2®-76 1! • iYidley, Minn Ow Rai h nodi ' Owner i••er Kind of Building fr-ilno r s. Used as To be completed about 5-26-76 Estimated Cost. $ 10.00 • _ Old—New. Building Permit No. Signed By, MjNNFrAern Bu:;In,.--s Thane NO ROUGH FIN.'7 - .50 State Surchax5e anwauR3 h AL T ERATIOlfs—RsUr to Code erc { p • • e - �s 6, �d1 r�55 sUIi.i1��E•�Y n500, TOTAL FSM S. _� • SUBJECT PERM IT City of Fridley 14923 AT THE TOP OF THE TWINS PERMIT r BUILDING ECEIPT NO. 1 u'•_____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � 15-/ = �` �•••1 CITY HALL FRIDLEY 55432 ,`J NUMBER REV. DATE PAGE OF APPROVED BY L"•' 612-560-3450 910-F15 9/18/78 JOB ADDRESS 28 - 66th. Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ralph Reidt 28 - 66th.Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum trim and siding. Reroof structure, install concrete steps 9 CHANGE OF USE FROM TO STIPULATIONS 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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� OOQ $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- $30.00 UCTION OR THE CONSTRUCTION. PLAN CHECK FEE TOTAL FEE P(RF1qjjF ✓ 7V $32.50 4 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHENPROPER A I T D T IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: 14 e -d D BUILDER: a �, m EJ jo ADDRESS : ADDRESS: -�® C Ad's +41 ' NO:. STREET: LOT: BLOCK: 5— ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction4"', Ce ]W :Lc; a Estimated Cost: .To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: A —1Y - 7 � SIGNATURE • (See Reverse Side For Additional Information.) 9r, 30.00 pp U -S'Z. S -J _ • . Vi I i Vr rniL;LCl ulv. 6431 University Ave NE Fridley, MN 55432 572-3604 tnecuve un uanuary i, iaau APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR : ••>:: PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE. TOTAL JOB ADDRESS 9z 0 $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $.7.00 199 $ 7.00 $10.00 Owner 444 A/ Aa .$7.00 $10.00 _ $10.00 $10.00 Gas Dryer Back Flow Preventer Required ( )Yes () No Type, $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ CJs Building Used As Estimated Cost , 0 PERMIT NO. o��S PLUMBING COMPANY SIGNED BY4r TEL NO. Approved By Rough—In Date Final Date f i MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE <C•;:<>: Urinal :�llb�< Shower h :..�"���`I�<`• �'� nl� Tray a Floor I Drain '•. a Auto e Washer h Gas R ane '•�:Water ?�`Xt`��>�s>�� Heater e Ston s Ga s lec Basement Floor 1 1• Floor loo 2 Floor -3 FI oor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE. TOTAL JOB ADDRESS 9z 0 $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $.7.00 199 $ 7.00 $10.00 Owner 444 A/ Aa .$7.00 $10.00 _ $10.00 $10.00 Gas Dryer Back Flow Preventer Required ( )Yes () No Type, $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ CJs Building Used As Estimated Cost , 0 PERMIT NO. o��S PLUMBING COMPANY SIGNED BY4r TEL NO. Approved By Rough—In Date Final Date f i MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE d / s11e1ECT P City of Fridley 2771 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. -9-7 j r 1 , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/11/98 JOB ADDRESS 28 66th av NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Ed ewater GArdens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Allard Same 571-6218 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dan Netko Exteriors 7118 Riverdale Rd Minneapolis 55430 566-3331 20060494 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Raxwdkm Reroof house & garage (23 SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 x WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Al 1.00 .99 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. $62.25 Fkre SC $1.97 PLAN CHECK FEE TOTAL E Lic e C • 70.21 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N ROP LI 1S R PPpCRM T7y 9LOt INSP OF `1 1/ FATE SIGNATURE OF OWNERIIF OWNER BUILDERi IDATEI d / NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 0 7-& 46�' 14- Legal Description: Owner Name & A dress: Z- Z AA,6A Tel. Contractor: mN MN LICENSE # Address: Tel. # 3 7-7K- ' -K Otac�°o9this 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks .type of Construction: T i ®o�/��j �p�" Estimate U4/- Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: ©�I CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $900 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 [ ] 4 0 Am ct mc-;� Ccm utm . i-rayv� : lrla�►-K- RM ,d mnr ssg32- quo j dn -fD r� y-�e pn, ons a' - NE b(o uetua� -/r, u�i�uh l �ot o8 ar.v-- lk--, dint �O V-Av,�, �ma&a ov� &ICLtrl- CITY OF FRIDLEY PERMIT NO.: 2004-02301 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 12/20/2004 (763) 572-36U4 VAX: (763) 571-1287 ADDRESS : 28 66 WAY NE R 6 5 O PIN : 153024140033 LEGAL DESC : EDGEWATER GARDENS : LOT 3 BLOCK 5 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 1500 APPLICANT BONFES PLUMBING & HEATING 505 RANDOLPH AVE ST PAUL, MN 55102 ALLARD MARK G & RENAE K 28 66TH WAY 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. Annlicant /1 Date Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 GAS PIPING FEE 10.00 TOTAL 45.50 PAID WITH CHECK # 4251 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee $35.00 $10.00 JOB ADDRESS _2 Total Owner Building Used As ESTIMATED COST /S_ UCS PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water arm Air) Trade Name_ 11)1 Size No. *Air Conditioning - All Sizes $25.00 $ BTU 7S CaD HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 196 of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. $� HEATI CO State Surcharge TOTAL FEE $s� Si d Tel # : Z�� 12-9-0V REINSPECTION FEE $50.00/HOUR FAX # C�� Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE • Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type l HEATING CO: Prin'-' 14 Signed By: L Date: rZ �J From: 7634344933 Page: 2/3 Date: 11/8/2007 8:11:44 AM Building BUILDING (USING TRE 1997 U.B.C. FEE SCHEDULE) Permit No.: Inspections $ RESIDENTIAL. APPLICATION PIan Review Received BY -7A11- y:763-572-3604 763 -572-3604 Fire Surcharge CITY OF FRIDLEY —a!ILP .001 times the total job valuation WM DATE " Q YOUR E-MAIL •ADDRESS *10 > 49 -VA 0 W W!s t tAK, tJ F -T- SITE ADDRESS Zg _ (p(tt wf NE. $ THIS APPLICANT 1$: ❑ OWNER. )(CONTRACTOR $ _._ PROPERTY OWNER/ NAMzr;—§ACJ( AO -1) $ TENANT ADDRF,SS; (Ab S CITY -F-# _ STAT _,TPj�S' 7Z _ $450'Conservation Plan Review n PHONE: _ �_. �Id 3 ! r 5o2-3, $ $ CONTRACTOR NAME: AAO g $ 5U$MIT A COPY OF STATE LICENSE # 01 EXP BATE�.1._^ 0 YOUR STATE LICENSE _ .T ADDRESS: I _ 11Jb i' V iJ #r q— CrTY-U'40.0 tv4 STATE1MPzi Sofia WITH APPLICATION PHONE (e —(16 O FAX _t f j 3 PROPERTY TYPE -eS1NGLE FAMILY/NEW CONSTRUCTION SIZE Cl TWO FAMILY/NEW CONSTRUCTI STORTES PERMIT TYPE ❑ ADDITION ❑ GARAOE/SHF,T) INbOWs Cl BASFMFATT FINISI•I ❑ ROOF ❑ DRAIN TILE Cl DECK ❑ SIDING; ❑ OTHER ❑ SWIMiVIING POOL TYPE OF WORK: ❑ NEW CI A1)MMON �J t+C4F— ❑ MAINTENANCE/REPAIR ❑ RFMODELINO DESCRIBE WORK BEING .DON] z &V' NJ' ci u'✓ 5 SIZE OF IMPROVEMENT LE GTH WIDTH HEIGHT Sq. Ft. ROOFING 13 HOUSE ONT.V NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING_SUBMiT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGF, 2. Proposed floor plan PROPOSED HEIGHT: T� 3. List of strttmral members to be used ALM ❑ Vinyl ❑SoPFt FOR NEW CONSTRUCTION INCLUDING DECKS, M Aluminum © Other ❑ Trim AI�Q1T IQNS_8�P_ORCHES 1. SUBMIT: Site ey ng the e:cistittg structurrs _„�� ❑ Fascia ropased project and proposed project WINDOWS 2. Two sets of oonstruction plants IN EXISTING OPENINGS es ❑No LOCATION OF WINDOWS AY 3. Energy Caicnlations OR FOR NFW OPENINGS -DESCRIBE SIZF.OF GA 57- V W0 r-w.�.f TYPE OF WTNDOW TTO BE INSTALLED , NUMBER OF WINDOWS 4+ ALI FEES ARE BASE D ON VALUATION, iiNCLUDIING THE COST OF LABOR AND MATERIALS: (USING TRE 1997 U.B.C. FEE SCHEDULE) TOTAL JOB VALUATION $ `J? 0CC11 ANCY TYPE Permit Fee $ Sec Back Page for Fee Schedule PIan Review $ 65% of Building Permit Fee Fire Surcharge $ —a!ILP .001 times the total job valuation Surcharge $ / .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAG Charge $ _._ . $1575 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ _ R •+• 5 ft -„ p x $2l a $ L Erosion Control $ _ $450'Conservation Plan Review Park Fee Sewer Main Charge $ $ Fee Determined by Engineering Total Due $ Agrebment necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev AEtneh THIS 1S AN APPLICATION FOR A PERMIT -NOT VALID UNTIL, PROCESSED 1 hereby apply for a building permit and I acknowledge that the infotmation above is complete and accurate; that the work will be in conformanoo 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 aord work is not M State without a permit; that the work will be in accordance with the approved plan in the case of all won Itiew and approval of plans. SIGNATURE OF APPLICANT PRINT NAME A I% DATE0-1d MOV -30-2011 03:05 PM STANDARD WATER CONTROL 763 537 1882 P. 01 Building BUILDING Permit No,:t`� Inspections Inspections RESIDENTIAL APPLICATION B A�n 763-572-3604CITY � '9 1 OF p'RIDLEY 763-502-4977 FAX — I-nI DATE ._ YOUR E-MAIL AMMUS SITE A1jbRES3 + TIM AMUCANT IS: O O CMR PRO TY OWNRR/ NAME: 'ENAlVT ADDPMS: 94 CITY >: STATE ZIP CONTRACTOR NAME Milo A SUBMACM01, --d'Y0 " TE UC NSE STATE LICEIME 4'UT . AM CERTIFICATE OF ADDRIM: 10iJA elf I CITY A� MURANCB FAx PR ERTY TYPE 11ON BiZB TWO FA11�.v/NEW C'ONa1RucnON aTa FISM TYPE OBASEME FINISH OROOF I TR2 u DBCK m Smme © OTHIM POOL O NEW ROiAR CONSFRMMON AMMON TM OF WORK: DMAMMUNM AM R1 OD1$.Q10 02SCRNEWURKBENGDOM ' WIDTH Elacm 0 HOM ONLY SOFT St?UARS$ 0 HOUSE A GAAA4E 1. > F1ootPlm C ATTACHED GARAGB 2. PMF NW flow Oft 0 DETACM D GARAGE 3. Lilt ofBeaMd MmbM to be used P1iWMNOEts W.. FORNEW CONSTRUCTION DICLUDMr DECKS. 13 O'er NKOVASOPF0 vM O NO 1• w° =lift mom= Siand D Oder� D Fel+ P� _ _ 2. Two eels ofeanouodm plow OPFNAM OYes GNo LOCAMN OP Wn"W3 FOR WOIDOn1mvWB PROVIDS INVALUE AND OR POR NEW OPMMGS.DEBCRMS SIZE OF MANUPACTME STIOM ON WDOOW. CIiANG$3l�C . 1'Y>yB NUMBffit OP A1616 F&ES ARE BASED ON VALUATION, INCLUDING TM COST OF LABOR AND MAT16R M& iUSWi-T=1997'U.B.0 FEE SCMDUM Phm Review I� 65% of Building Permit Fee Fine Sufthup $ .001 times ilia total job valuation 8tachap -MOS x Permit Veluotioa b&IM mu $5.00 Limmse 3u dwp $ 55.00 (S'tase Li mead Redderdial CalltrROM) SAC Cho $ $2230 per SAC Unit (Pleas to MWCC ibr determination) Curb Wsmw 8+ 6 R= R x SZS= S $1021011 Coalrol _$ $480 Conoavaaoa Plan Review Park Fee S Nee Determined by End Sewer Main Charge $ AFa moth noo msy ( ) Non Neoemy ( ) 'FIRS 3 AN AMICATXV KK A PRMM NOT VALm UNEL PAOCROSED 1 hm* apply for a building permit ad I Rowledge that the inf natlan above to complete and =me% do the www vM be in ocafar mme whir the ordbumem and � of ri and with the M�Ota Construction Coda; that I undamnd this is not a petit but only an eMlloation for a end not to whhout a permit on site; that rho work will be in will dm ameaSMXA et<l plan A the Daae of ew en � al� i� J 19AA ' DAIS SIGNA'Yt1R8 (3P APPLI MOV -38-2011 03:05 PM STANDARD WATER CONTROL 763 537 1882 P.02 STANDARD WATER CONTROL SYSTEMS, INC, 6187 la "M "iso No181 9879 1 MIK Al www "I—!- ter Dan cry", MN 86x29 cm, IA mm Feec (fi3j lI97•i89$ U00400" Of. w1111, RUMUN= ff.== o1am rmcmeom ounrm peh Ieti�Yll lest) VM etaata tlmo) aeUM "MIM Mn M" WNW~ "MOM watelpraotlNBywer�w s. tnse1led 0 p Ila* �%GPA Q' 94* Naos C e Name 11den�e �.o m' 5$�� �r 11en1 I aloe. c ) Nom. 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MW Q=dftwdlMd tti pMeeA Bpe=darend wridlone. thewane on bogl etuw etthtiAglrenleM d/d Jeb P4apeleioel Idleraro aetielsol0ry end enlalNllr==pled.ft l-MaiOnteamftdre alld�repeo>a0w0eneabaawllraaetbdefaldraahaaBs.Ybuwautl101Ned b do h wodc/repeolAedI I�pw. d wMe punt ee ouNI10d aboMe. Dtle �l 2 V,- IL...- OrwleradloAkiCw &.-I/."# Bellepep, �,IU'.I► - pIb - From: 763 572 8889 Pa e-1/1 Date- 120201112:56:11 PM ,%L_ Buil ft . W PLLTMWG 1XISPeCtiOns RESIDENTIAL "PLICATION Rewived 763-572-3604 763-502-4977 FAX CITY OF FRWLEY 1. -0 gfflgr_�__ 7,1-2010 _EQ 0 201 YOM &MM,ADMM J VIRADUMS WE 00VIM OWNIM M,WAW &'U1E1WA� :..MDW I--""""A YOUM rASTATE LICENSE LICEN8,11. POM AM STAM BOND # CUt MATE OF I ADDUSS: � gaup.mcE .W—h PZR?#W TWE TYM OF WOR X- DErARM DESCRIPTION CW WORK 0 TVO CI RIWUWMMWr FAX a TOVMHOUSE EXPDAIM - Z FM AM &4= ON StO.00 Wa FMOJM SWOL =E"WIMNOM F=MW: M0r_AM=ALMMM0FE&Q1B=1W _x Si1VR/iAV IRIWIL DRAM _GASP1PIN0*MDCff-YLJC) WATBRPVM WATM9.0PTNER S —tALWDRYTRAY WATER M$rffit _GTTIM Two IS AN APPLICATION FOR A PERMIT NOT VALID UN71L PROCIESSED I hereby apply for a plumbW11 permit and I aclutowlecip ow the infMIUdOn above Is complete and accurate; that the wo* will be in *Dubnnmm with the ordbiances and codes of the City of pridley and with the Minnesota cmLqmxdm Codes, OW I undow=d this b not a pamit but only an awlicaflon for a permit and work is RW to start W1dxW 4 Permit on site; dw the work will be in acwrAmm WC"md glOf Which mquires review and of NANE APPLALDSPEC DA76/ City of Fridley guilding bapedlons Department 6431 UniyursftY AV.WuV NE, FridleY, MN 55432 763-672.3604 FAX: '163-5o2-4,977