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PRE 2010 DOCS
BUILDING PERMIT Village of Fridley, Minn. N° 2972 Date. . ST ............... Owner P�''.1! .......... .. . Builder Address./..�..�,.'... Address V?-��............. .'Q��A�✓ e� LOCATION OF BUILDING No. �` / o ...... Street .................. Part of Lot ....................... Lot .... /10 ....... Block .. .......... dition o r Sub -Division . A eA.A. . `p� Corner Lot ............ Inside Lot ............ Setback ....... Sideyard �........... DESCRIPTION OF BUILDING To be Used s: qp ... .... .. Front g. 9 .. Depth .�" :(Height ... Sq. Ft. .L.Q .e. Cu. Ft. ........ .................... Front ........ Depth , ....... Height ......... Sq. Ft......... Cu. Ft..` Of 67 6* �. Type of Construction .... ..... Est Cost ./�...... `-... To be Completed '. .. *- -f -0-"o ® /7 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 $. ...... permit is hereby granted to A3047✓.../.4� idyt,�f ....................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .111 NOTICE: This permit does not cover the construction, installation or alteration for wiring, pi sewer or water. Be sure to see the Building Inspector for separate permits for these Ite gas heating, City of Fridley, Minn. BUILDING PERMIT N°45'77 Date: Owner: .......:.. . , _ Builder .......................... _..... Address ' _' " .GGA-,rs i ..... Address __ .... ....... ...... , ,. r .. ...... .......__....._.._..._..._..__.... LOCATION OF BUILDING No..... '�_....._. Suet _ � -<_..._.. Part of Lot ....�........ ._... _.._.. __.._..._.._.......... ... .. Lot ..-.. �'}, - Block •--- - - ........ .................. Addition or Sub -Division _„► it�..�� Corner Lot ..... ............................ Inside Lot .-----............. _................. Setback .................... ......... _......... Sideyard - •---------------- Sewer Elevation ------------ -------------------- ....._-.-.----_._...._._.... .......... Foundation Elevation ....... ... ................ ... ---_-•--•---_..__....... _----..--.--_..-- DESCRIPTION OF BUILDING T be U,sed -I_ Front ? _$� .. Depth .,—,A... Height .--..-� �. Sq. Ft. Cu. Ft. _.............. .. ............. Front ...._ -.. Depth ....._..------....%Ight . Ft......_......._...._.. Cu. Ft. ----........._...._.. Type of Construction ...... ...-- _ .. p Sq"'�`d,'Est. Cost'�..--------..._........ To be Completed ............... _._.................... ....... CAUTION THIS PERMR, DOES fV07 AUTF IORIZE VIOLAT- ION OF ANY R-',1 /A1�1 In consideration of the issuance to me of a permit to cozW It hb Wese, be a(' eF r,i �o �5 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 $ :A }_' `"'. ....__, permit is hereby granted to. .......... ....... _..... ............. ................._.. to construct the building pr, addition as described above. This permit is granted upon the express condition that the person to who;n It is granted .and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 7 1—Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these Nems. rb APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name ALLAN MAZTSON Builder Address 210 - 67th Avenue Address LOCATION OF BUILDING SAME No. 210 Street 67th Avenue. N. E. Part of Lot Lot 10 Block_____l Addition or Sub.DiV. Rice Creek Plaza South Addn. Corner Lot Inside Lot xx set 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 be used as: Detached Garage Front 14 Depth 22 Height l0 Sq. Ft. 308 Cu, Ft, 3,080. Front Depth Height Sq. Ft. Cu. Ft, Type of Construction Frame Estimated Cost $924.00 To be completed October, 1960 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. 5/4/60 DATE SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) 1 • . - is 0 a r 4 CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 6431 Unlversity'Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEQQLE JOB ADDRESS 7 ��. , 1 The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct, Gas Piping (Needed with new furnace) $10.00 $ OWNER,�,��.�d�� Gas Range $10,00 $ BUILDING USED AS gPee,>1&4�G Gas Dryer $10,00 $ ESTIMATED.COST�®®� PERMIT *AIr Conditioning — All Sizes $10100 $ NO, ' All Others/Repalrs & Alterations (LIST ON BACK) DESCRIPTION QF FURNACE AND OR BURNER 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name g�o,e A� -`alze No.����61� Commercial/Industrial BTU moo®® HP EDR 1% of Value of Appliance or Work $ Fuer Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. ov BTU HP EDR TOTAL FEES► HEATING COMPANY :wy��Xi����� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION Q c. REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed B No, PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved By ��� Rough—In Date Final Date *Air Conditioners. can not be placed in a side yard without written permission from adjoining property owner, FiLL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I. 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 ( ) S. 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 r ®e> TOTAL BTU 's®� Remarks �cl HEATING COMPANY Signed By Date VA zle�, CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 20.00 $ Gas Piping (Needed with new furnace) $10.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning — Ali Sizes $10.00 $�© All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work $ Commercial/Industrial I % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE,_ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE 5.50 STATE SURCHARGE® REINSPECTION FEE $30.00 Effective On January 1, 1993 JOB ADDRESS 214> L�5 7 ;-11 � 4 L 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. ,e� 4 OWNER_ BUILDING USED AS Z-,) Z� 4c'.- ESTIMATED GfESTIMATED COS4) d CO' = PERMIT NO. No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY �Ei�'� �i�®/•/�G-�T� ® Signed By �—�� o. V 1 )TO-- a F /o ow *Alr Conditioners can not be placed in a side yard without" Y written permission from adjoining property owner. 6"' Approved By JI Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) 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 Remarks List Alterations Being Done• HEATING COMPANY Signed By Date 0 PLUMBING FIXTURE RATES: NO.' RATE TOTAL 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** 1 Gas Range** _ Gas Dryer** _ Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS 010 &7J' I -)u -c A)r-. 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. � Ir Owner ���n �rV),1 0 M.JL Building Used As Ic Estimated Cost /0 -dG .1998 PERMIT NO. � /1-2VO4 PLUMBING COMPANY 1 SIGNED BYLL�C- TEL N0. Approved By Rough—In Date Final DateT�� �p MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE.6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT -AIf�NZ7�\ City of Fridley 30640 AT THE TOP OF THE TWINS BUILDING PERMIT `IP T NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. f✓ 1 � NUMBER _[7 DATE OF APPROV D BY = CITY HALL FRIDLEY W432 612-571-3450 910-F15 1/24/00F7;Gf / JOB ADDRESS 210 67 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Johnstone 210 67 Avenue NE 571-6810 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Cedar Timberoof 1001 E Cliff Rd Burnsville MN 55337 808-1149 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20147336 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CALL FON FINAL INSPECT10k Permit Inspection CVrd, WITHIN 10 DAYS OF WORK Will Be Mailed COMPLETION TO Home0luner To Post COPY TO HOMEDMI MP SEPARATE PERMITS ARE REOUIRED 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 MOT 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 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 835 $.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1, 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 PLAN CHECK FEE TOTA EE Lice S $5. $73.96 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI HEN ROPE VALIDAT D I$ IS YOUR PERMIT 1 r BIOG NSA GATE SIGNATURE OF OW NER,IF OWNER BU40ERI IDATEI C CIV fvr PJU Mk-+ 04O -Ax -- NEW[ -NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: C) 6 7 �' Ay e-- A)_ E, cIf��'� Legal Description: Owner Name & Address: n h o 54ajA L- , ��'® Ld Tel. #6 5 7 /-- 6 V0 n� T Contractor: &5+ L p_ d CAL MN LICENSE # oaO Address: /()®/ Lc r lj�QL He)v-S[jj `l -' , 5 332 Tel. # ('Diol-,FOa-11V®I 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: Construction Type: "T pC— o,. jj re- rooF Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: qo APPLICANT: A�i dwet k Ceo&r iCTel. CITY USE ONLY Permit Fee $(y(e , ZQ Fee Schedule on Reverse Side Fire Surcharge $ ). Rei .001 of Permit Valuation (1/10th%) State Surcharge $� $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 50 CZ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ `73.��a STIPULATIONS: