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PRE 2010 DOCSM BUILDING PERMIT Village of Fridley, Minn. N9 2974 Date.rte .....�. ...................... .h.4�!�1,� Builder Owner ... '.. Address. .. �. . ,'r!�y :" Address ... !� . ! J ..�y.� .. . LOCATION OF BUILDING No. .. �....... Street .. .�r.................. Part of Lot ....................... Lot ... � .......... Block ...:� ........ Addition or Sub -Division �� Corner Lot ............ Inside Lot .. ... Setback Sideyard DESCRIPTION OF BUILDING To be Used as: !' . ... .. Front . . Depth ...... Height � Sq. Ft. /.. � Cu. Ft. ........ ont ........ Depth ........ Height ......... Sq. Ft......... -Cu. Ft. . O Type ............. /D ®� ' ... ... V.. 7a......... of Constructio Est. Cost To be Completed /)c ,e 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 $_11441p, —permit is hereby granted to dQ- `FM.. ................. ...... 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, plumbing, gas sewer or water. Be sure to see the Building Inspector for separate permits for these Items. i City of Fridley, Minn. BUILDING PERMIT N? 6033 L CA N OF BUILDING No. Street ��R- Part t Lot ___ Block Addition or Sub-Divisionaez. Corner Lot _ Inside Lot _ _ AAback Sideyard Sewer Elevation — Fo dation Elevation DESCRIPTION OF BUILDING T d, an: �v// A"' Front Depth, Height Sq. Ft. � Cu. im 4 -OW Depth Height re •+� Sq. Ft. ____ __ _ Cu. Ft. Type of Construction?_r Est. b _ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work Inaccordance with the description above set forth and in Compliance with ;h provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $� , permit is hereby granted to to Construct the build�i`n�g or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any, part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said ordinances. 40e")A& P,.•I NOTICE Yids pormh does not cover the condtructien, hn ailation for w[rb& plumbing, Ass heating, sewer or water. Be ane to see the Building inspector for separde permits for thea then. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESO'T'A owner's _-....���`= i Address 0 4 7. 4Z... / Address LOCATION OF BUILDING No. Street rt" o Lot Block '�— Addition or S ivisi Corner Lot Inside Lot Setback..Side-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To �Pe used as DESCRIPTION OF BUILDING Frontepth ± Height l u sq. Ft.— cu. Ft. �� C d` v FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost�_�e 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 of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and ,representations stated in.this application are true and co re t. DATE _4ZLy / �� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PER City of Fridley 12128 AT THE TOP OF THE TWINS PERMIT BUILDING RE COMMUNITY DEVELOPMENT DIV. ' INSPECTION r PROTECTIVE SEC. t = � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 230 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Gumphrey 230 - 67th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Roofs Company 3118 Lyndale Avenue North 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res ident izal 7 CLASS OF WORK ❑ NEW EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 6' addition to house 9 CHANGE OF USE FROM TO STIPULATIONS There must be 5' between combustibles SURATE 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 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 R-1 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 $1,800 $mX .90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 12.90 �SIGNATUREO I TRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALID TED THIS IS YOUR _PERMIT [ S /!3 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMrl �1.L.� .:'.d.'.. , 1 ADDRESS: lr• NO:. -2 SO STREET:_ %1-, & - LOT: BLOCK: S ADDITION: nr� AXE CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: ZI a Depth: G Height: Square Feet: Cubic Feet: -Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: �j/�� �i,�� , A Estimated Cost: s /900. _ V To Be Completed: T The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct, a DATE: o /o/ % SIGNATURE (See Reverse Side For Additional Information.) �• -�., Y. 60 c r jrA qw qw INDUSTRIAL C • E • COULTER PLATTING BUSINESS FARM SURVEYS clry Lors LAND SURVEYOR LAK EBHORQ TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA JUDICIAL LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS 8, MINN. TAYLOR 4-0370 ' �.J ✓/� � ..�- � is 4' •1. �i ;'i ,S:�•YJ (�11.F �1 ✓_ -J'� �. i:J �'lIY'�P�iIIt'B �iF1'Y�I$#F i i 'i I hereby certify that the abcve is „ trIIP Tied comrel:t w -lilt cit' A sura-; of Lot Eifrht (L`.; r Ll(,,ck Five. (K). IiTCL C:Zi--1 -LA •A-0jr-nit! AIX) ' N Anckn Gounty , I•,innPscta. As s>irve Pd ply me t}tis l,t day of ;,;a„ 195c ..�/ =;i amen_ _ � ,`� o•� . p--�.�--� D nnesota Registration No 2,564 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Jeb Address "''(/ 7 �t � Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 .4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 • $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ e d Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ G .ii (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMSsee Fee schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $� ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT _Y114 REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCiiARGE 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. Fridley, Minn. /"-7-C . 19?_7 OWNER KIND CIVF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COSTS 4� �]/ OLD - NEW BUILDING PERMIT NO. PERMIT NO. / / DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water WarmAir No. /1 Trade Name ,`'� Size No. C�� Capacity Sq. Ft. EDR BTU Total Connected LoadXind pf Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP �1__�Z2 W Company p Signed By Tel. No. 01 SUBJECT PER City of Fridley 215 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT i � CEIPT NO COMMUNITY DEVELOPMENT DIV. tr �� r PROTECTIVE INSPECTION SEC. � , 1 = CITY HALL FRIDLEY 55432 NUMBERDATE PAGE OF APPROVED BY 612-571-3450 910-F15 f7l 9/9/92 JOB ADDRESS 230 - 67th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Gumphrey 230 - 67th. Avenue NE 571-0221 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. City Wide Remodeling 4418 42nd Ave S, Mpls., M[V 55406 874-7636 5423 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 0a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (14 Squares) Tear --off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 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 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 $742.00. $.50 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- $21,00 Fire SC $.74 STRUCTI N OR T E PERFO ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE - . - License SC $5.00 $27.24 /!I136ATkYEOFCONTRACTOROR UTNOR AGENT (DATEI HE PR RLY V LID ED THIS IS YOUR PERMIT j9rr' LC BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 NEW [) Effective 3/1192 ADDN [ J CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Z.30 11. % 4j a te- /V �� Legal Description: J?a -- p- a. ewl r -e i-Qo-(� Owner Name & Address:j ',Y-� 6u m,®c, T, Ll Tel. # S71— 0,U l Contractor: e l' MN LICENSE #000S1123 Address: 441!9 4.2 /Z % Tel. # 537 763(� 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: re E00 -C Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks —7 4, Type of Construction: Estimated Cost: $�2 in(^ Approx. Completion Date: (Cost on Bach) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ ZP $ `7q $ . �® $`r Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: MWM Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ ] SUBJECT76809 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. v �_�___ r PROTECTIVE INSPECTION SEC. - 1 . I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1 612-571-3460 910-F15 17/24/98 JOB ADDRESS 230 67 Avenue I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Gumphrey 230 67 Ave 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 ER. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house (west side) Storm repair 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 SO. FT, CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 I 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 $500 $.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. $21.00 Fire SC$.50 PLAN CHECK FEE TOTAL FEE 22.00 IGNATURE OF CONTRACTOR O AU ORIZEDAGENT IDATEi HEN PROPERLY VA TED THIS IS YOUR PERMIT g6pG„I P r)ATE So NA RE FOWNERIIFOW 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: "�'3 in & % Auel-16'ez— Legal Description: Owner Name & Address: __J/1 /ne- V- Tel. # Contractor: L MN LICENSE # Address: Tel. # 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: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: --JA-i k7 e S `' Tel. # clu/j� - % CITY USE ONLY / Permit Fee $ U v Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ STIPULATIONS: t