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PRE 2010 DOCS4 Date 0 ,Address BUILDING PERMIT Village of Fridley, Minn. �. '....�- ......................... .. .... ..... ... .......v... c......... N" 2971` j Builder ...ic 0 .... ,� Address . . . ! . ?.?.3.-./..1...... .. .. .a LOCATION OF BUILDING No.. pZ.'. ®. �....... Street. .. �. 7. �...... ........ .... Part of Lot of ...................... . i Lot ...//......... Block .1i5 .......... Addition or Sub -Division �.�.�. g 99 3� Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ��! !% ��.� 02 . 7/ DESCRIPTION OF BUILDING To be Used as: s .. ... Front ;3.r. Depth 47 .... f1eight,4f? 4 Sq. Ft.. YZO Cu. Ft. ........ ont .... Depth ........ Height .�.. Sq. Ft.......... Cu. Ft. Type of Constructio ... Est Cost ®.C? ®........ To be Completed ...�.............. /X�4'*_�ie'WmC., Y'4' * 440,0 17 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 village of Fridley. In consideration of the payment of a fee of $.. ... , permit is hereby granted to I4�.. .* 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation or alteration for wiring, plunk sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn, BUILDING PERMIT (iLo 8 ,) Date: Owner:... + ___..__..� _- ._ ___...__... Builder _.. a! ..._._. _10 Address .. .... .. , ' ._ 1••��� a Address•e•,r,AOr O 10F BUILDING , dL4A No. 0.40._........ Street .._._..........__......_..... Pari of Lot ...... Lot ...... .... ................-----.. Block ..... -......................................... Addition or Sub -Division ...... ................... Corner Lot ............................. Inside Lot .... ..- ............. Setback ................... ........ .... _...._. Sideyard Sewer Elevation ...---•....... .... ............ .._..__......._.....__...._..._._....___..._...._...._. Foundation Elevation DESCRIPTION OF BUILDING Used as: _`_.: ,..... .�r.. Front . "' .. Depth . :.._. Height JO--._.. Sq. Ft. * _ Cu. Ft- I,IM V ....................... ...........--..... _.............. Front . .................... -----------of Construction ...........,.. Type '"" w. Depth .............. .Est. Cos •• Height . "',.... + .��....`•'"....'.'�...... -.-.._..------...._. Sq. Ft. .............. ........ Cu. Ft. ..................... To be Completed ....._......_....._.._ ......................... ION OF ANY F'RI'vATE 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 $.. '""`_........ , permit is hereby granted to- ..................... _........._.....I..............._.. ___..._..-._:..w_.._ 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 violatio� of any of the provisions of said ordinances. %I ,#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 FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name k-,) Builder Address $ G `� Iia AddressY-S-0 A Cf LOCATION OF BUILDING No,200 Street /:? fG-� 41,g Fart of Lot Lot Block Addition or Sub.Div. Corner Lot 1Y Inside Lot_ t Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To beu ed as: 4C,& Front d a Depth a Height % •L Sq. Ft. of 6 U Cu. Ft. ©c� Front Depth Height Sq. Ft. Cu. Ftp Type of Constxttctio,S�S- Estimated Cost C 3 � �®n To be completed L, n ri'tiT S 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 correct. J9 DATE ei - 3 — v ! SIGNATURE � - (A Schedule of Fee costs can be found on the Reverse Side.) fi*s'P�eamr.@'� �.,s+,+g F'^..., .:..p r"°7 ,n., .. �'2,•..v:^�—, �.a.a,^�a.s,.°g �� Pal PIT �:.b � ...�u:au...•� dv� C•i 'n:iLac�..:i is J':..-.��tdl...o..,, r. i,��.:.�m�....;�� �-..V^rv'W:..7su.. Ll�.....���.:..ovr�}� ��i.�Cvdui:'�v�l.ucir.�:•b�ia vJ.+. PIT ACV v ti.aL Ge e�y �.v Li L��` PARTIAL 1ZATE SCHEDULE GRAVIaT WArUN., ArA: M-% Z TOTAL. Furrmce Shell & Duct Work ..... ..'010.00 It Replacement of Furnace 6.00 A Repairs & Alterations—up to $500.00 600 � 'Repairs & Alterations each add. $500.00 3_W DMC'IL WJL17.24 ILM Furnace Shell & Duct Work to 120,000 BTU ..S1000 $ emch add.. 90,t100 BTU . ......... 3XX) $ 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 ZY!-I7'...4 Furnace Shell & Lines—to 400 sq. ft. FDR Steam 110.00 S Furnace Shell & Line- -to 640 sq. ft. EDR Hot Water 10.00 S. Each add 200 sq. t't. EDR Steam 3.t3(3 $ Each add. 320 sq.. It. EDR Hot Water 3.00 S OIL BURNER—to 3 gal. per hour 6.00 over 3 gal. per hour—bee Fee Schedule GAS ZU11N ER (up to Lre3.030 BTU) 5.00 $ m-ar 10-9.000 BT -0 Soe Fee Sc.l.odule GP.,S F'IT'TING * z:. -: NO Y INTE TOTAL 1st 3 Fixtures _ x$ zoo $ Additional Fixtures x •yg S___ Gas Range 'Co 10.C20 AIR CO:,r'" C7,.Ze.-Z State Surcharge .50 Fe�t;c TAN1�g '1a[I�. �� G �czr-"-,Inq Ye%:'ri� S i1So4 S�pY�i:.�iq�.7p ¢7 L J�pLPp i}.��f y�!!�y� iiirl���16 ♦Y./Y.CJ Y�YLl�QYrL m iV.�Di,.1SY 0Lw1 �' XWJ5W107= I Dopt. of 211(p. S;3,= City of r ridleyy: The undersigned hereby makes application for a permit for the work hereie, specified. agreeing to do all work in strict accordance with the City + ace` and ruling of the Department of Buildings, and hereby declares that all the iz--z and representatiuns stated in this application are true and correct. Owner Kind of Building Used as To be completed about, O® Estimated Cost:, S �f Ol New. Building Permit No. _-- Pormit No. v I'.r.ATING or POWER PTJXTS - Stoeamn Not Water, Warm Air—No Trade Name Size Pio •Capacity---- — Sq. I?`C. E.D.R BTU NP* Total Connected L=d_— IrtrA of set BURNER — Trade Riazrtg &W Rio Capacity SO, Imo. E.D _141L BT°U Imn- �' N (() 416 /} C-L c-t, (a> Ivo a, arc wp-c-K. CA 1 SUBJECT of Fridley FCity 149 AT THE TOP OF THE TWINS BUILDING PERMIT RtqZNO. COMMUNITY DEVELOPMENT DIV. u'_ ------ � PROTECTIVE INSPECTION SEC. r � 1 � i --'ti CITY HALL FRIDLEY 55432 NUMBER REV. DATEP AGE OF APPROVED BY 612-560-3450 910-F15 /p -/9_7� JOB ADDRESS 0111110 WORM/ 200 - 67th Ave. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Peterson 200 - 67th Ave. N.E. 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Star Garage Builders 4509 Minnetonka Blvd. 920-3110 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Garage 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 24' X 30' ' 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. Garage 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 720 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 - 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. $2.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5212.80 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- 28.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 7�CA44 $31.40 SIGNATURE OPtONTRACTORORAUTHORIZED AGENT (DATE) TE HIS IS YOUR PSIGNATURE hE �OP DATE OF OWNER IIF OWNER BUILDER) IDATEI 1 • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PE(2MITS (NL" -W, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:/U2 S' CGS BUILDER: ( 'ep 1 �c�QrS Address :/Sig, Address: • Tel. No. S I 10 ' No.: Street: XAM BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach -to this form wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: cCj���� Front: t r Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: P� Estimated Cost: $ S *L TD Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The 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. See reverse side for additional information. DATE: �n-!`°7P 7� SIGNATURE: Stipulations: t VA • �d � I F INDUSTRIAL C. E. COULTER FARM SURVEYS BUSINESS Nk LAND SURVEYOR LAKESHORE CITY LOTS TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA JUDICIAL LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS 8, MINN. TAYLOR 4-0370 + TH 67 W/z,- I 2' S I hereby certify that the above is a trite and cora ct Flat of 3 -urvey c:f : Lot Eleven (11), lilock Five (c1, rUCI: :RELY. PLA..:A SUUTii ADDIT1011,1knokm (;c;unty, I,4nnesota. As surveyed by vie this 1st day of Km 1qI`:,F; A.D. f r i;,'eed lr-i,, I-,'innPsota ReJ�i3tr tion ^:o. Rr a97/ ww'-_ F'A SUBJECT PE City of Fridley i59 13 AT THE TOP OF THE TWINS B U I L D I N G PERMIT r I RE T N COMMUNITY DEVELOPMENT DIV.®� r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612—571-3450 910-F15 9/3/80 JOB ADDRESS 200 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 Rice Creek Plaza. South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Peterson 200 -167th Avenue N.K. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Donald Bostram 1218 - 153rd Lane N.E. 434-5986 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION J1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 20` Deck and interior remodeling of kitchen, bath, and new stairway to basement 9 CHANGE OF USE FROM TO STI PLILATION S SEPERATE PERMITS REQUIRED FOR WIRIm NEAITING, PLUMBING AND SIGH WMNOIG WON Glpins caN total utiiit* TFUNOME - ELECTRIC - GAS Etc. RE01ARED BY LAW 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 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 $8,800 $4.40 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 OTHE4STA OR LOCAL LAW REGULATING CON- $54.00 STRUCTION OR THE PERF OF CONSTRUCTION. a PLAN CHECK FEE TOTAL FEE $13.50. $71.90 SIGNATURE OF CONTRACTORORAUTHORIZE D AGENT (DATE) WHEN PROPERLY V (DATED THIS IS YOUR PER IT +_ BLDG INSP I DAFTE SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI - 1 F'A lttti _ a ..�.....,,.;cti�...,..-•m:..;:......i�'�a�,....., a�.�:...-,..._y. - •�::..r.�.=:..F_s�....��'_.. _..rte_... ,. .._�..,,�:..:r��..__a... __�» _ .d __.xr-a. ..a,-_s.'�...,lza �'i";�v'-s,�zS.:.....,,... • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PENMITS (NEN, ALTERATIONS, ADDITIONS, OR- REPAIRS) 01111NR: 7'l-+ 212&F BUILDER: � �t a Address: ow.ye--'`=`L Address: /573 Tel. No. N.O. Zr'151 Street: 4977// LOT: e� BLOCK.: ADDITION: CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS: Applicaht attach 'to this form Two Certificates of Suryey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Use As: Vii' _ Iqk 2 °;ight: Front: Depth: S are Feet. Cubic Feet: Front. Depth: Height: _ - g Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: /Q/ l?° Alt._ A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes appligation 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. See reverse side for additional i ormation. DATE: Ko2® SIGNATURE: °P Stipulations: �•C. � 3,50 - o y. y0 1,se, d . SUBJECT P City of Fridley 20514-1, AT THE TOP OF THE TWINS BUILDING PERMIT i COMMUNITY DEVELOPMENT DIV. a� __�___ r PROTECTIVE INSPECTION SEC. � � �J V 1 = CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/9/90 JOB ADDRESS 200 - 67th_ Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 Rice Creek Plaza South. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Peterson 200 - 67th -Avenue N.E. 574--9321 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK (j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 121. Shed 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. 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 I 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 $1700 $.85 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- $39.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $3 .8 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH PROPER V A IS IS YOUR PERMIT 9� SP I� DATE / SIGN R O F OWN ER I I FOWNER v1 DE I IDA I NEW[ ]� Effective 1/1/90 ADEN [ R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: X -O07294 6 n_ bG' c� �0 Tel. # ' Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D- - -- IPTION OF IMPROVEMEM LIM G AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width - < Height Sq. Ft. DDCR AREA: Length Width Hgt/Graauldd Sq. Ft. 07MM: Corner Lot p� Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:' ;, Estimated Cost: $ Approx. C mpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width ,+ 6' ,,a. See Back Page DATE: > " '' APPLICANT: ,.;s r r ; . ' S ^fir Tel. Vii• Permit Fee $ -.6-1806 State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreerent Necessary [ ] Not Necessary [ ] STIPUTATICKS: r)(054 3.9•C�ti ucamsLD my OQDINAucz OF CRY OF MINNNA/OLIS . 3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4-0370 _ JU�iYEY FOR' �jENsa�v to.YsT.�/cr�r�.�- ��; - SG•9tE � ' /'"=.3d ' i;urar�rnr's Q�irrtifitatr 6 7 IVZ, 1 /iori �i'DA _ 55 h ✓.''ait y..� -S'. SUBJECT P i City of Fridley 275 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RE O. COMMUNITY DEVELOPMENT DIV. v y- r 1 PROTECTIVE INSPECTION SEC. ✓J 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 • l 612-571-3450 910-F15 8/7/98 JOB ADDRESS 200 67 Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Peterson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings 6331 River -view 574-9966 4051 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 $2252 $1.12 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. $74.75 File SC $2.25 w PLAN CHECK FEE TOTA EE �� 7 Y Licens 5.00 3.12 SIGNATURE OF CONTRACTOR OR AUTHORIZ AGENT IOATE) N PMOPEADAT THIS IS R P M BLO "k -SP r. DA 71 SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI .�; - NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 "( BUILDING PERMIT APPLICATION ConstructionAddress: Z® 0 6 7 TA Ag R. G Legal Description: Owner Name & Address: eA-Fk :,j 7?, -T'P P -s p Tel. # Contractor: c A A Z C-) N 61 MN LICENSE # Yo 5 - Address: Address: 633 1 RL' u� Pf L7 19 Tel. # F� q —17(6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Z-7 S -k Construction Type: Estimated Cost: $ 611495A'do (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: d ? APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 2e, z $ �• aS $ Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] $ e30'/::�-- a CITY OF FRIDLEY INSPECTION DIVISION ' 6431 University Ave NE q Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 - REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning . All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB ADDRESS_ rL Effective On May 10, 1999 OWNER L/ I ( LZ&ZA 1.�� Rate TOTAL BUILDING USED ASffj�,jdtl lam, i $ 30.00 $ ESTIMATED COST PERMIT N0. —/ l" "� $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/V'ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work hereii specified agreeing to do all work in strict accordance with the City Codes $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. HEA' Sign *Air Conditioners can not be placed in a side yard without Approved By (,Rough -In Date Final written permission from adjoining property owner. PitI r)I IT DAf%V Cine Cr\ CTAe%V VCDICIhATIrnAt nKI 01701 At L1_ Q --.00- ' CHDdNEY AND STACK VEERWICATION 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 {d° No ( ) 3. Has no foreign objects lodged within Yes (4 No ( ) 4. Is securely supported Yes ( No ( ) 5. Meets all current Coderequirements for size and total BTU's connected Yes (-rNo { ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes (,-Y-No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: 0D- 01� List ALTERATIONS vBeing_Done: HEATING CO: Signed By: Date: G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 October 17, 2001 Mr. Ryan Peterson 200 67 Avenue NE Fridley, MN 55432 Re: Final Inspection at 200 67 Avenue NE Contractor: Dave's Appliance Heating & Air Cond. Dear Mr. Peterson: A mechanical permit was issued on July 20, 2000 to install an air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh SUBJECTP IT NO. City of Fridley 32947 AT THE TOP OF THE TWINS ? BUILDING PERMIT : RECEIPT NO. COMMUNITY DEVELOPMENT DIV.�� PROTECTIVE INSPECTION SEC. w r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Oi APPROVED BY 763-571-3450 910-F15 7/31/02 JOB ADDRESS 200 67 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ryan Peterson 200 67 Avenue NE 574-9321 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Landa Construction Inc 2108 S Ham Lake Dr, Ham Lake, MN 55304 763-434-4169 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 8013 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION .0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO LLL STIPULATIONS Per Section 1402, 1997 Uniform Building 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. Caulk and flash all exterior openings. 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 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 $9,000 $4.50 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. 167.25 Fire SC $9.00 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL 3! License $5.00 $18FE .75 SIGN A TUBE 09 CA • RAC TOR OR AUTHORIZE D AGENT IDATEI NEN ROPE Y ALIOATE T IS YOUR PERMIT BLOC INSP gArE S,GNATURE OF OWNEROF OWNER BUILDERI IDATE, NEW [ j CITY OF FRIDLEY Effective 1/12002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: — Lo•�,.,�.s� Legal Description: Owner Name & Address: Contractor_ L rye o - Tel.# -5-7-73�/ 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 Wdth Height Sq. Ft DECK AREA: Length Width Hg��UGround Sq. Ft OTHER: 1 ��b� _ _C",ocoz Construction Type: Estimated Cost: $_% row Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: /-3 / -n— APPLICANT: Tel. # 3 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge C�III���liL�! Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Resideritial Contractors) Alt. "A" or Alt. 'B" Above $450.00 Conservation Plan Review Fee Determined byEngineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 1 M-1 (S STIPULATIONS: - pate:11t2rA0710:UU A10 F:rorn: City of Fridley TW 7837 -81305 Page- ?13 BuildingMECHANICAL eived By. Inspections RESIDENTIAL APPLICATION Rec� 763-572-3604 CITY OF FRIDLaE�Y YOUR. E. -MAIL DATE 71 -1--- — - - srPE mDuss TIUS APPLICANT IS. O OWNER CTOR ATE -LP WF� OWNERI ADDRESS ZC_____�"`1 TENANT PROM --E0—NTRi-C—T01i7 COMPANY NAM — — - SUBMIT A COPY OF CONTACT PERS( DAVE'S HEATING, AIR & ELECTRIC YOUR STATE STATE LICENSE, 160137TH AVE NE STATE y1, LICENSE WITH ADDRESS:_._ COLUMBIA HEIGHTS, MN 554.21 APPLICATION PHONE - - - - PE11`M.IT TYPE Wx LEFAIALY OTWO FAMILY DTOWNHOUSE — TYPE OF WORK: 0 NEW LACEMENr Q ALTERATIONIREMODEL , DEDESc"R T iPTION OF WO —�-- n PER MS 3 6B.665 the permit fee is a minimum of SUL89 or 5% of the totes cost up to SM.00, whichever is greater, far the improvement, installation or replacement of a residential 6xtnre„ exchAing the fixtures. (This should reflect only the cost of labor ) Labor coat under $340 = S15.00. Labor cost between $300 to $500 = cost of labor 1.05 = --- FOR PROJECTS WHERE LABOR EXCEEDS 1508, FEES ARE BASED ON 510.00 PER FIXTURE. EXCEPT WHERE NOTED, TDCruRE: M01CATE TOTAL. WUMBER OF EACH BELOW)Equomm MFG. MODW-8-�-.0 a"4 S ? MIFG1 MODEL: - MEOBTU MFG-. MODEL: — SWJBTU VAlC 525.00 FIRF.P1 ACE (CiAS) Si 5.00 GAS RANGWOVEN $1800 AiR TO AULEXCHANGERRSl5 �F1RIURPLACE (WOOD) $35.00 GAS M GRILL $10.00 '�'Boaxa$35.00 FURNACE 135.00 —pWL HEATER $35.00 —CHIMNEY LINER 110.00 T: 0AS DRYER SI0.00 DUCT WORK 310.00 GAS PIPING $10.00 VIIAITIr.ATOR 115.00 .':F'.1+'�".�'Ei �: rPNla'`4.;-.'li!EY�G '4t'Fi�tt�' '�' ;•..«�.::.., r.�7a Fault PeImtL Fee $ Wumber of f xtures @, $10.00 x $10.00 = Surcharge $ Number of f"dures @ S15.00 x $15.00 - $ TOTAL DUE $ Number of Sxtlum @ $25.00 _ x 1$25.00 - $ Number of Rum @ $35.40 x $35.40 = S State Surcharge = $ 54 Total = $ THM IS AN APPLICATION FOR A pKK W".Nt}T VALID UNTIL PROCUND I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confm manna with the ordinances and codes of the City of Fridley and with the Arimnesota Construction Codes; that T understand this is not a permit but only an application for a permit and work is not to start without a permit; that the weak will be in ecowdence with the approved pian in the essepTikU work which re tr sow dMwval of pins. , n — . SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE. Fridley, MN 55432 763-572-3604 FAX 763-502-4977