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Village of Fridley, Minn.
. - BUILDING PERMIT ° 1825
Date: . ...... �...............
Owner .......... Builder ........... ... ...('. .....
Address...................................... Address ...... 2 %......... .�
LOCATION OF BUILDING
No. ..... Street.......................... Part of Lot ....................
Lot ..... Block ...... +��......... Addition or Sub -Division ... � ................. .
Corner Lot ........... Inside Lot _ .. Setback ..12�4..... Sideyard ... �. ��.�...... .
DESCRIPTION OF BUILDING
To be Use as:
h _ . . . ......
Front
��..
Depth . 22 Height
.4.
Sq. Ft. ........ Cu. Ft. ........
�.............
Type of Construction
Front .f A-. . Depth .. . Height . "
;ted t7/
ri ..... Est. Cost .. %. ............
Sq. Ft. ........ Cu. Ft. ........
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 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 $:��...... permit is hereby granted to
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
..... Building Inspector
NOTICE: `L,
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
MJRMGASCO
53 -8b -S-915.51
City ®f Fridley I
Applical.17a fW nk and &M peamb .
Dept. of Bldgs. Phone 960-3450
DESCRIPTION OF WORK 533 N. E. 67th. Ave.
Number, Kind and Locmtion of Fixtures Locate
pp
O I;
m
SF
�
G�<3
til
V
N
�$
H
WATER MTII.
GAS
ELEC.
Base
lst
Insta
IlGad
Gil
2nd
3rd
4th
• Future Connection OpeningsConnected with
Bawer 11* New Fixture. Old Openings Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................. x $2.00 $
Future Fixture Opening ........... x $1.50 $ _
New Fixture Old Opening .....:.... x $1.50 $
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and ' hereby declares that all the tact
and representations stated in this application are true and correct
Fridley, Min*+ 8-14-74 19_
Owner Gary B. Ferguson -
Kind of Building Frame
Used as Res.
To be completed about 8-21-74
Estimated Cost, $ 10.00
Old-- G Building Permit No g
Permit No. �3,1v/1
Signed �a
By MINNEG= - -
Business Phone No
Catch Basin . x $3.25 $
Water Heater 'Up to 99,000 BTU) .. • • x $3.00 $
New Ground Run Old Bldg. ........ x $3.25 $ ROUGH
Electric Water Heater........... s $2.00 s
FINAL ` SI - 7 J
SAS FITTING FEES. NO. RATE TOTAL
1st 3 Fixtures x $2.00 $
Additional Fixtures .................. x $ .76 $
Gas Range to 199,000 BTU.. . x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge
Description ......stall .Gas Grill* ........... .00
TOTAL FEE $ 5.50
Class 11%7 6-urcharge
97 -81! -416051 CITY 'OF A FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
m
PLUM-BING FIXTURE RATES: NO.
>
¢
N'4=.ber Fixtures
,30
$3.00
$
r^1t%ire Fixture Opening
x
$2.00 -
$
Water
e
a
n
Catch Basin
x
$5.00
w
e -c+
13
e
A
$
�
,0 $4
,
w
$
Hater Softener
Heater
p
++
ti
c
,-I
O
x
C:
C
0!
H
+a
X
$4
O
},
W
4 r
8 U
Q
,C
1st 3 fixtures
N
. $3.00
4
[.. n
x
••
-.i
X
x
C C
3
O
y
U
74j
N
N
tlrol
JC
v
r'(A
w
u w
a o
0,
C9
O
as
kec
Is t
aa6
4at,r
�2nd�
LT+
(R) a Future Connection Opening
Connected with Sewer
(;) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUM-BING FIXTURE RATES: NO.
RATE
TOTAL
N'4=.ber Fixtures
x
$3.00
$
r^1t%ire Fixture Opening
x
$2.00 -
$
::e+ Fixtzre, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
:cater Heater - to 99,000 BTU
x
$5.00
$
10,000 B_J to 199,000 BTU
x
$10.00
$
Hater Softener
x
$7.00
S
New Ground Ran Old Building
x
$5.00
$
lectric tater Heater
x
$5.00
$
G,'S FITTING FEES:
1st 3 fixtures
x
. $3.00
$
F :ditional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
S
REPAIRS $ ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 S
State Surcharge $ .50
TOTAL FEE $
REINSPECTION FEE
($10.00)
Job Address 533 67 Ave. NE
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 reprosentations stated in this application are true and correct
Fridley, Mn. 10-31-80 , 19
(YMER FERGUSON
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 11`6-80
ESTIMATED COST 50.00
OLD - NEW BUILDING PERir.IT NO. PERMIT NO. 94/c
Company
1, i
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. I ' 21" -1
Date
APPROVAL FOR PERMIT 414� lS
XMMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 ST:►TE SU;t=;;=
0
1 HOUSE 'HEATING TEST RECORD
ADDRESS 533 NE. 67 Ave.. APT. FLOOR CITY SUBURB Fridley
OCCUPANT Gary Ferguson OWNER
HEAT LOSS DATE HTG. INST. -+
SOLD BY M>rnnegaseo INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. $ UNIT HTR. THER
CONVERSION
SIZE NONE
Limit Draft Hood Regularor
Limit Setting Filters Size Number
Fan Setting Chimney Location Inside Outside
Pilot Type
GAS DESIGN
Pilot Make o
MAKECl'
avers$
MAKE OF BURNER _
Model
.0
Model
Serial
`DNV"
J e"&Zl
Max. BTU Rating —
INPUT
UON
MAKE OF FURNACE
Model
WAT LTROLS
THERMOSTAT Heat Plug
Vent Size
Valve
KIND OF LINER_
CONVERSION
SIZE NONE
Limit Draft Hood Regularor
Limit Setting Filters Size Number
Fan Setting Chimney Location Inside Outside
Pilot Type
Chimney Construction
Pilot Make o
Pilot Model
Smoke Bomb
Pilot Timing
Draft
L.W. Cut Off
Door Pressure
Pressure Percent CO2 Date Tested
Input CFircent 02 Company Testing —
Stock Temp. Percent CO Name of Tester
Form 235
Wiring
.Test Tag—
Lighting Inst.
SUBJECT
PE R
City of Fridley
II
1175 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.PROTECTIVE INSPECTION SEC.
Y3,315R
1 �
= FRIOLEY M4322
i w ;"';.� CITY HALL
NUMBER
REV
DATE
PAGE OF
APPROVED BY
--_- J
L ` 612-571-3450
910415
112/15/98
JOB ADDRESS
533 67th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
oescR.
4
6
Rice Creek Terrace 4 h
SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP
PHONE
Loris Ferguson
571-3778
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Premier Home Enhancers 9707 -
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
O NEW O ADDITION O ALTERATION iUc REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage (24 S) Tear -off; Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Call for building wrap inspection before covering.
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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3096
$1.55
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$87.25
ire S 3.10
PLAN CHECK FEE
TOTAL F
Li S $5.00
$96.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN(POP TED 1 $ Y0PERMIT
MRID
7R
01
S-GNATURF OF OWNERoF OWNER BUILDERI IDATEI
BLO N P
ATE
WE
„JUN -25-1998 11:56 FROM CITY OF FRIDLEY TO 5130078 P.03iO4
1V h W 1 1 Effective 1/1/98
ADDN [) CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R -I AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: S-33 %7T" A ✓p- . tj • E-,
Legal Description:
Owner Name & Address: bop&is Tel. # 5-71- -9276
Contractor: aLMiF-P- Por -Ne ErJ H Ar4C-Ea.S MN LICENSE #
Address:. W 7 Tr--ro Ai 1'J- Elm,,-owrot INLI S5414d Tel. # 51;1--0110
Attach to this application, a Certificate of Survey of the
Iot, 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:
'onstruction Type:2t e- Estimated Cost: $
(Fee Schedul a cin Back)
Iriveway Curb Cut Width Needed:
'A'I9; .L0 `1T, -'M APPLICA
ermit Fee
ire Surcharge
tate Surcharge
AC Charge
icense Sumbarge
1riveway Escrow
rosion Control
$ S'00
ark Fee $
ewer Main Charge $
9G"?
TOTAL
NPULATIONS:
$ a(U-(0 - Al
5,"J,%oS
Tel. # -0 t f
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 [ J