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PRE 2010 DOCS
"'fir j° � • BUILDING PERMIT Village of Fridley, Minn. No Date•..... ................... Owner- .001,0.. Address �'. /, . ®.. .. � t7 2978 / r./ Builder ..... ........... Address., LOCATION OF BUILDING No. A.7. 5 ..... Street.,;,z°.......... Part of Lot ........... ..... . Lot .....�.��........ Block .. ....... Addition or Sub -Division . �� .Cs� . <�. e���G�"'� 4iG e / A Corner Lot ............ Inside Lot ...`�....... Setback . ���... Sideyard ' ./®.� . . DESCRIPTION OF BUILDING To be Used as: Of Q ...... .. .. Front �. / Depth'�f Height . , , Sq. Ft. /. , lf® Cu. Ft. ........ .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... Type of Construction . , , , , , .. Est. Cost /.7/ . d E. ."sem. To be Completed ...V ............ . 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 t0 .. ..... ... . . ,,,, , , , , , , , ,,, , , , , , , , , , 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. .. Builcjing Ipspector s NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbs,gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items: t� City of Fridley, -Minn. BUILDING PERMIT N® 3560 Date: ..� .+ .. �... ....... Owner . . .... ..Builder ./...�............................. ..... Address . 9A 0Y.. S� .� . uOlv.! . ���..-. Address ............................................. LOCATION OF BUILDING No. ...... Street ... I..... Part of Lot ............. ... Lot .....�� ..... Block ..j ............ Addition or Sub -Division fff i .4-z; z4 . �r• ... . Corner Lot ............ Inside Lot .. A ....... Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING ... �. rC. .. ........ ® Depth �.... Height ........ Sq. Ft „7.. !. Cu. Ft. 'j . 70W .................... Front ........ Depth ......m. Height ......... Sq. Ft......... Cu. Ft. Type of Construction ................... lkt. Cost.. /D.4. a ..... To be Completed ................... 16 Q-- -;�'V q ac. 07 /� 0�-r� /?Y In consideration of the issuance to me of a permit to construct the building desribed 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 $4- ..., permit is hereby 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 with - In the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , l . . ......... Building Inspector .... ........ .. . . . NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. INDUS-.VAL BUSINESS CITY LOTS TOPOGRAPHIC MAPPING • • C. E. COULTER LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA ALICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN. TAYLOR 4-0370 t- urtirga r'o (rrttfurer 41, s 1� Y pra 1- - 8� I hereby certify that the !ab.,.,p is n t1u<. =:n.d eorrc ct ; _l.at of e ^clrvok of: PLATTING FARM SURVEYS LAKESHORE JUDICIAL Lot hour (4), Llack Yjve (e). C-71: ADDITICdW, rno}:a-oi.nty, , Ame©ta. As surveyed by mei this 1st I, %3y Of 195<j I� suejEeT RMIT NO. City of Fridley 3061 � AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. F • COMMUNITY DEVELOPMENT DIV. �-------, INSPECTION SEC. o a 9 r � PROTECTIVE 1 . � CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY �'' 612-571-3450 910-F15 T�'Ev 1/3/00 10B ADDRESS 270 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 4 5 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terri Trocke 270 67 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Docken Construction 4432 18 Ave S, Minneapolis, MN 55407 721-3515 20174931 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? REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SCALL F0H f11NAL diS 'i i ° WITHIN 10 DAYS OF WORK COMPLETION COPY TO Hoti'S' r-nwIRT,n. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,098 $1.05 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 $83.25 Fipj SC $2.10 PLAN CHECK FEV TOT L,/FEE Lice $5,0 $91.40 SIG TUBE OF CON' CTO A R AUTNOA D AGENT IDATEI HE PR P VALID T THIS IS YO PE s : G MSPJVMATE S.URE OF OWNEAOF OWNER BUILDER, IDATEI I� NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUELDING PERMIT APPLICATION L Construction Address: 2 7d Xz,¢vz Legal Description: ' - - Owner Name & Address:" �v,' -��,c� .270 Tel. # Contractor: Dom% i s MN LICENSE #..2,,)/7 j Address: /IR• 7S�/� 7 Tel. # 412 7-0- 35�� 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 H Ground Sq. Ft. _ OTHER: Construction Type: Estimated Cost: $ �C) 93 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: I Tel. # *Z— -7--2 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 0 aS^ Fee Schedule on Reverse Side $ 16 $ /, DY $ X00 .001 of Permit Valuation (1/10th%) ,$01$1,000 Valuation $185Tper 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 [ ] SUBJECT P City of Fridley 32453 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ------. r � PROTECTIVE INSPECTION SEC. lc� 7 E E , NUMBER REV DATE PAGE O: APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-Ft5 3/8/02 JOB ADDRESS 270 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 4 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Isais Cavarrubias 270 67 Avenue NE 763-574-7546 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 O NEW O ADDITION RX ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARW E PERMITS REQUIRED FOR: WIRING, HEATING PLUl�RIN � AND SIShIS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $1,200 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .60 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- $44.85 Fire SC $1.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $4y.65 _ SiGNAT TRACTORORAUTHORIEDPG�ENT iOATEi EN ROP V LIDATED IS IS YOUR RMIT 7p�f -(;, 1 a / _7 S,GNAT W AoF OWNER SUILOM 10ATE1 BLD 'N$P wl E NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 2 7c _ C / 14 V S l s-/,,3 z Legal Description: Cy y '�-riu(- c t ui a Owner Name & Address: f a C— Tet. Contractor. (1.,/ Al P— MN LICENSE # Address: Tel. # 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: 1-42�; Ar � 000 Construction Type: Estimated Cost: $— Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: APPLICANT: —OLs Tel. # Z-Vo.i,"7 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ (o �� STIPULATIONS: ea j h Ct� d 00 a� ro c"a f- lig 9, J/0 d wood � 050 O 45 tv 1 �G ro�1L T r CITY OF FRIDLEY INSPtLl i iON UIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective Un Jan 1, 2002 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** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type Reinspection Fee $47.00/Hr NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge JOB ADDRESS l C/ U'C LLZ12L (�pV sSy� 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. Owner Building Used As Estimated Cost d ,200 PERMIT NO. PLUMBING COMPANY 1Jt A/ /l%��rL SIGNED BY &U:2 Z: TEL NO. 36 74 7 `9,6 CZ FAX # Approved ByAq— Rough-In Date Final Dat .50 nn��uW , W, &I% r1-aivIunwww ra:�nuw TOTAL FEE $��� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT- VENT CONNF .TOR AND _nMR3 ISTInN AIR VFRIFI CATION When re I� a ring an _xistingf� rannP, 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 come stien air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new rnmhi ,Minn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When inst�e a new v _n ina systam, 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 #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input 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 HEATING CO: Signed By: Date : Building Inspections 763-572-3604 763-502-4977 FAX SrrC ADDKNQS -.--G 'PMIS AI'YI.ICAN7' IS: PROPERTY OWNER/ TEKA14T N1 07140 sEPARATE Crry I dCGVSE$ ARL• R20.1)1RED FOR GAS AND MVAC. SUDINIl1' CAPY UI' WND PERMIT TYPE From: 763 565 3311 Page: 2/2 Date: 2/21/200810:56:33 AM N 4 CHANICA.L RESIDENTIAL APPLICATION CITY OF FRIDLFY 1 _ycxJrtP-MAILA0DXr-%S vc.;1� ?.'-� �. ' _.. O�1WNh.K t7NTRAe:�ll)R Permit o.: _. Rec,Civ d j13y7,-% Date R C�7MPANY NAMIti;� '�Q�.�'�l'F�. .��.�•� CONTACT PMA SbN: STAYS, LICENSE 0 '�EXPP DATE AurJRESS �_� J.i_... CITY PM m►s:ii`Ya_`L--�'LL._ FAX �:-S-32/ .. TYPE OF WORK: I M NFW FAMILY 0 TWO FAMILY DETAILED DE,SCRIFLION OF WORK - O VJWNHOUSE ❑ ALmkATiowk[MC)r)tl_ PER ASL' 16#3.665 tbo pamit fee is a minimum of $15.00 or 5°/A of the total coat up to $500.06, whichever is improvement, installation or repimment of a residmrW fixture, excluding the fixttm. ('this should reflect ul OR IA"r cast under $3030 - S I SAO. Labor cost between $3oD to $500 - cost of labor _. x .05 FOR PR0VFt;TS WHVM LABOR k'XCF.'DS 000, FEES ARE BASED UN $10.00 WK rIXT11AC, EXCEPT WHI-]tL- NVI1-:D. FiX NUMBER OF MACH SF:LOW) ' _ 7 s*nentIrAted M:vt�r ` sot, Mouu„� SI'/.F1 MVCI: - . - MODEL.: SIZE! AJCgt5,epFtItL- LACE (GA$)$IS.ou r PSIJAS NOWO _ AIR'fO AIR rXCHAWICER $15 �V PLACE (WODD) $35.001 NL'W UA -i GRY AUILSR $35.00 QFURNAC6%35.0D r(iAR 11Nt r HTI CH1N1N&Y L.INL'R S1 Q00 GA -S I)RIT.R S 10.00 _PW..L H RATER __-- - r •c n.mw,rxln'.AA VGHf111ATOR. Permit Ftp Number of fixtures @ $10.00 _ Surchiff8c .50 Numbur of tixtnres (a) S 15.00.. TOTAL Dt]E $ _.. OR ]Number of fixtures rt $25.00 _ Nu nWr of fixtures (03 $35.00 5ta MINIMUM $15.50 WNIMUM ATC____ 'Llf=_ :am, for rhe the cost of labor ) URL•5: (IN_DIIC:AIM TO,7'AI. TU TV TU FEN $10.00 t.1;1D.G� Sith00 x$10.00 -S— $25 .00 $25.00 = $__ — x $35.00 = ►urchariro 5 _ 0 5,90 Total = $ � �~ THIS IS AN APPL.ICATIUN FOIL A PM- MIT•N0.r1' VAIAD UN11L PR(WESSF-U I hum by aptly for a nam:M11es1 pem)it ►end 15A11oWIo1p 8bW the informant above is wrnplac aid aewrate; thar Ola watk wili bx in nftMnOWA With ft urdlowums and Ueda of LW City of Fridley tool W1111 the wnnerotit Cwasvuuim Casks: thus I understand this is not a punuit but only w, 0WWk 11 fVT of a P ►Smit and work Is not to stout wddmut a t: t1,m +Nark will Le ' rd' rite approved pint in tl,e ura:1 work whial req hvs envie }wand ,�I+pn 1 rid SiCiNA'1LlRC* OF APPLI N'f _ ._. _i'RIN'T `JA1vIR.t—%`l-' .,?1� . f)A'I'L•'Z } _ �► A DATii ' C City of Fridley Wilding IUSP eetions QcpgrtmeDt 6431 University Avenue NE, Fridley, Mid 55432 763-.M-3604 FAX- 763-502-4977 Id WUS2:OT 8002 T2 'qaj 4EETILS294: 'DN Xtlj 661PI43 Jv h310: W0u 11171,