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PRE 2010 DOCSCity of Fridley, 31inn. BUILDING PERMIT r ,eCATION U DING No. �- Street -J - tJL-- Part Lot __ Block - Addition or Sub sDivision— Corner Lot --- Inside Lot setback Sideyard Sewer Elevation Fou4dation Elevation DESCRIPTION OF BUILDING To as: 104b •� Front Depth HeightSq. Ft', Cu. Ft "'�' lo Front Depth HeightSq. Ft Cu.41 Type of nstruc -y ;e Est Cos 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 In accordance with the description above set forth and in compliance with 21 provisions of ordinances of the city of Fridley. 0.1 In consideration of the payment of a fee of $ , permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon there on 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, Mi:mesota regards=g location, construction, alteration, maintenance, repair and moving of buildings avithin the dty limits and this permit may be revoked at "any time upon violal�oaP any of the"provisions of said ordinances. Inspector NOTICE: This peneit does not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these llama. 1 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ti Owner's Nam&Y&7� s Builder! do /� v Address �/.-C_ Address LOCATION OF BUILDING No. Street Part of Lot Lot Block J Addition or Subdiv sionl' �'� Corner Lot Inside Lot ��tback Side-Yar SEWER ELEVATION FO ATION ELEVATION 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 C! Depth V_ Height 1L Sq. Ft, Cu. Ft. ✓ Gf -0 Front Depth 14 Height %Gl Sq. Ft. le j Cu. Ft. je,f- Type of Construction '! Estimated Cos&�.�� � To be CompletedZ-A-fl- Uf 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. DATE A& J SIGNATURE fa_z�_ (Schedule of Fee Costs can be found on the Reverse Side). a City of Fridley, Minn. 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: November 28, 1972 owner: _ Ed Saefke Builder Same Address 470 67th Avenue N.E. Address Same LOCATION OF BUILDING No. _ATO —_ Street _ _ 67th Avenue N.E. Part of Lot Lot 13Block _._._ _.5 - Addition or Sub -Division __Rice Creek Terrace Plat 3 Corner Lot ___._.__.. _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation _._.._. DESCRIPTION OF BUILDING To be Used as: Finish BasemIlInt Depth Height Sq. Ft. Cu. Ft. Front — Depth Height Sq. Ft. Cu. Ft. Type of Construction Paneling Est. Cost $1, 200._ To be Completed 2 months In consideration of the issuance to me of a permit to construct Oie building described above I agree to do the proposed work in accordance with the description above set foo andin mp sate with ;Jl provisions of ordinances of the city of Fridley. .60 State Surch In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Ed S e fke 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 ordia:inces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building vpithin the city limits and this permit may be revoked at an time upon violation of any of the provisions of said ordinances. Building Inspector Darrel Clark NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OW ,S NAIVE: Ed Saefke BUILDER: ADDRESS:, 470 67thAvg a N.E, ADSS: asp 470 SSI 67th Avenue N.E. LOT,- 13 $LOCKS 5 AAITION I Rice creet Terrracp` P1 at CORM LOT: INSIAE LOT: SEMCK; SIMARD: . itcaa<4t attach to 0,U f+=_Uo Certificates of Susvex of Lot and proposed hmi.ldiAS location dram 4m these Certificates, VESCRIPTION OF BUILDING To Be U404 AS: Finish Basement /t� Depth; Height: Y 7 Square Feet; 1(0 0 Cu►bie Feet; Front: Depth: Height: Square .Feet; Cubic Feed TrPa of Construction$ „�Estinwted Cost: $ To Be t�►pl#t'sdt o� yyL, r� TM andarsiaed hereby =*" application for, a pelt for the work herein #peejfW,, agreeing to do all work in sttict accordance with the City of: F 1414 g O rdxaoces aad 'elms 9f the Department of Buil 4tn8s, aTA hereby dealarep t all the facts and representations stated la this application, axe true and correct. (on Revorve Stdo For Additional information.) 0' 01 SUBJECT PERMIT NO. City of Fridley - - AT THE TOP OF THE TWINS BUILDING PERM rp ECEIPT N0. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/2/80 JOB ADDRESS 470 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ed Saefke 470 - 67th Avenue N.E. 571-3387 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO SYIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys SEPERATE PERMITS REQUMM FOR VARM, HEATING, PLUMBING AND SIGNS. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 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 $1,000 Y $.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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $5.00 HORI AGENT (DATE) PROPER VALIDAT D THIS IS YOUR PERMITr:�4EOFOWNERIIFOWNE ®WHEN ASIGUREOFCONTRACTO�RO BLDG )NSP f1A E (DATE) 01 • CITY OF FRIDLEY . APPLICATION _FOR RESIDENTIAL BUILDING PER14II'S " (NEW, ALTERATIONS, ADDITIONS, OR REPAI-RS) r OWNER:' -BUILDERS Address:-(o Address: _ t Tel.- Ivo . No. Street.: i LOT: / J BIALY. 11DDITION. ti . �- CORNER LOT: INSIDE LOT: -SETBACK.: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be''Used As: Front: Depth: Height: Square Feet: Cubic Feet: s Front: Depth: Height: Square Feet: Cubic Feet: U I Type_ of Construction:.. Estimated :Cost:. $ To Be Completed: Alt. A Alt. B i 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 rblldings., and hereby- -- declares that'all the. facts and represen tions stated in'th•s application. -- are true and correct. See reverse side o addition info aton:- DATE: �- SIGNATURE: Sfa.pulations : i Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. New Fixtures- Future ixturesFuture Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer RATE $ 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 S 10.00 $ 10.00 TOTAL ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ , n 50 �� Job Address 00 NE 67 Ave. Department of Buildings City of Fridley Tel. #571-3450 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, Mn, l 1 -7 _til , 19 OWNER KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 11-9-81 ESTIMATED COST 50-C)n p p� OLD - NEW BUILDING PERMIT NO. PERMIT NO. 8 /� Company t,R9FJ"•`A :,,fir ` Signed By ROUGH INSP. Date Tel. No. FINAL INSP. V ")-`7 -�'f 'Z, - Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE m Water d e b+ c V w w Heater w8 '� m o m y 3 Q w° ai w c� ado ao 3 c� s lec 1st r ng 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. New Fixtures- Future ixturesFuture Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer RATE $ 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 S 10.00 $ 10.00 TOTAL ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ , n 50 �� Job Address 00 NE 67 Ave. Department of Buildings City of Fridley Tel. #571-3450 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, Mn, l 1 -7 _til , 19 OWNER KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 11-9-81 ESTIMATED COST 50-C)n p p� OLD - NEW BUILDING PERMIT NO. PERMIT NO. 8 /� Company t,R9FJ"•`A :,,fir ` Signed By ROUGH INSP. Date Tel. No. FINAL INSP. V ")-`7 -�'f 'Z, - Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PE --�, City of Fridley� 2 G 3 AT THE TOP OF THE TWINS BUILDING PERMIT 5 r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC +nom �� r V� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY %j 612-571-3450 910415 6/20/97 JOB ADDRESS 470 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Saefke 470 67 Avenue NE 571-3387 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) 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 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 1 I HEREBY CERTIFY THAT 1 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 $2,310 $1.16 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $78.22 SIG URE OF CONTRACT R OR AUTHORIZED AGENT ID+A�/TEEI^ HEN PROPERLY V I THI$ I$ R PERMIT ^ O R V Si NAT.RE OF OWI OF OWNE UILDERI IDATEI BLD INSP PATE NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDINppG PERMIT APPLICATION Legal Description: o / 2, Owner Name & Address: Contractor: Address: Effective 1/1/97 -6 14 3 Tel. # .9—% Z-3 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. OTHER: �2 .04�n Construction Type: Estimated Cost: $ ' (Fee Schedule 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 $ 3 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 $950 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 [ ) Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE 3 D – U l0 YOUR E-MAIL ADDRESS SITE ADDRESS �7b (®� /" THIS APPLICANT IS: ❑ OWNER QZO'NTRACTOR Permit No. Received By: Date Rec'd: PROPERTY OWNER/ NAME: J+M sa e,Lk' Plan Review ADDRESS: CITY STATE ZIP TENANT .001 times the total job valuation PHONE: $ .0005 x Permit Valuation Minimum $.50 CONTRACTOR NAME: �0 r), --a, Etic�e/ro rJ c STATE LICENSE #�� -�� 00 2 9' 7 O o EXP DATE A/ SUBMIT A COPY OF ft + 6 ft = ft x $20 = $ 3Z / 7%1-'- CITY �7 /e.9 STATF�/ZII' 153_4113a` YOUR STATE LICENSE ADDRESS: wAN Sewer Main Charge WITH APPLICATION PHONE FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE Total Due PROPERTY TYPE Make checks payable to: City of Fridley Attach Stipulations ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ RROl�— ❑ DRAIN TILE ❑ DECK O'SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:❑ NEW ❑,A,,�.D�DITION ❑ MAINTENANCE/REPAIR 2-IffMODELING DESCRIBE WORK BEING DONE: 1 6+4 It 2FGke- - (Jr 7VI wl;dc-s - lns fq // SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2• Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SID _� FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: ,nyl S� o t ❑ Aluminum TrE 1. Site Plan/Survey showing the existing structures ❑ Other ascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS es ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & / J kef TYPE OF WINDOW TO BE INSTALLED /) vc NUMBER OF WINDOWS / _KO AT.T. FF.F.c ARF. TtACFT) nN V ATJTATTON_ TN(IJTDTNO THE COST OF LABOR AND MATERIALS: TOTAL (USING THE 1997 U.B.0 FEE SCHEDULE) VALUATION $ //, ov OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance 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 and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE