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PRE 2010 DOCS• City of Fridley, Minn. BUILDING PERMIT Date: May 25j, 1965 William Backstrom Builder (�194 N° 7515 Nilsen Erickson Inc. Address ____V2 — 6M, Ave- N. E. Address 7632 TnT,�t1;. St. LOCATION OF BUILDING No. 572 Street 67th. Ave. N. E. Part of Lot Lot - 2 _ Block _ 7 Addition or Sub -Division Rice Creek Terrace Plat 4 Corner Lot _ Inside Lot _ Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Rssiftuce Front — Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Frame Est. Cost S2 9 7QQeO-Q_ To be Completed Storm Damage Repair 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 a& provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of$ 0•�, permit is hereby granted tr, N� el®on Inc* 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 location, construction, alteration, maintenance, repair and moving of buildings within � city limits permit may be revoked at any time upon violation of any of the provisions of said NOTICE: Ibb permN dost not eewr the conttruetlon, lnttdWon for wiring, plumbing, gas healing, sower or water. Be acre to we do Bulldlog bupaetor for oparate psrmih for thaw Nems. V APPLICATION FOR 1NG PERMIT CITY OF FRIDIJY0 MWZMA OWNER' S NAMEo BUILDER /Ilii �974)l�i ADDRESS' 6 7 %Z[ - if E A46 ADDt�ESS �_. LOCATION OF BNG No, _'�� .. Street 'j< 4&E O . Jlart of Lot,,.. Lot �- Block Addit.ioar or Subdivisiaq� Corner Lot Inside Lot _...SetUack Side-Yarq. SEWER ELEVATIQN FOUNDATION Applicant attach to this form, Two Certificates of. Survey of Lot and propcsed'tr t,­� ing location drdwn on these CA-ttificates. To be used as: 6F."iD EstiC> DESCRIPTION OF BUILDING -PronC Depth Height'. r . i � s S$. Ft. Cu. Ft. Front Depth Height StJ. Ft. Cu. Ft. Type of construct LOU . _ Estimated Cost The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work Id strict accordance with the City of Fridley Ordimnees and rulings Of the Departz�n of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. r✓ -of Fee Coats can be found on the Reverse Side). City of Fridley, Minn.. N° 8539 BUILDING PERMIT i Date: OCTOBER 193 1965 0 L per: WILLIAM BACRSTROM Builder ML.SEN-.ERTCBGON. INC Address - 572 - 67th Avenue N. E. Address 7632 Nest 14th Street Fridley 32, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 572 Street 67th Avenue N. E. Part of Lot Lot 2 _ Block 7 Addition or Sub -Division .___ Rice res Terrace, P7 a fi 4 Corner Lot Inside Lot — X Setback _ _ Sideyard Sewer Elevation ____ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 20 Depth 22 Height 8 Sq. Ft�/ 0 Cu. Ft _ 3.52 Front Depth freight Sq. Ft. Cu. Ft Type of Construction Frame Est Cost _ 1.aQ...9_ L- 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 aft provisions of ordinances of the city of Fridley. F In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to NILSER-ERIMON, INC. ress tto construct the building or addition as described above. This permit is granted upon he expcwndition that the �e�on to whom it is granted and his agents, employees and workmen, is all work done in, around and upon said building, or any pi�art thereof, shall conform in an respects to the ordinancres of Fridley, Minnesota regarding location, conatructton, alteration, maintenance, repair and moving of buildings within the city Iimits and tb�s permit may be revoked at aqv flans upon violation of any of the �^ovl�ons of said ordinances. ALLEN G. JENSEN Building Impeatcr NOTICE M pemb dos trot cover the com rue9m, keWhdon for wkb* plumbing, on hodiso, ower or wabr. Be sm to M the ouiiding hupector }or opmate pwmHe for thea Nemo. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME XZLLiA W / f KIST //4 BUILDER/l d S �' �1�� /C IA` -r✓ `1.G¢", ADDRESS_ LOCATION OF BUILDING Street j -y ld Alf , Part of Lot -LOT R ADDITION OR SUBDIVISION Corner Lot Inside LOT-4—SetbackSide-Yard SEWER ELEVEN FOUNDATION ELEVATI011t. Applicant attach to this form Two Cettificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: - A `011 `i Front Depth, Height j -�O `P Sq. Ft. Cu. Ft. .3 S Front Depth _Height Sq. Ft. Cu. Ft. Type of Construction���,(L�� r Estimated Cost 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE ��`9 / j -- SIGNATURE ��e��L�P eZ F,, -,t . (Schedule of Fee Costs can be found on the Reverse Side). ., 9 . 01 SUBJECT PER City of Fridley 2 9 09 0 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. 144 I /"'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By ....... �'' 612-571-3450 910-F15 3/26/99 JOB ADDRESS 572 67 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 7 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Backstrom 572 67 Avenue NE 571-3461 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing 6760 Madison St NE. Fridley. MN 55432 571-0248 9042 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 25 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED 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 S0. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,142 $1.07 DOES NO ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI. ONS OF ANY OTHER ST OR LO L L REGULATING CON- $74.75 Fire C $2.14 STRUJ'CTIO OR THE PERFORM CE OF, STR TION � �2 LZ PLAN CHECK FEE TOi EE Lice SC $ $82.96 SIGNATURE OF fONTRACTOR OR AUTNORIZED AGENT IOATEI HEW ROPE A 10 1THIS IS P IT SIGNATURE OF OWNEROF OWNER SUILDERI (DATE, BL INSP fIA1E 01 NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: _� ��v i/)� 1-1 L— Owner Name & Address: Z -G / LGr��/— Contractor: 13 6- MN LICENSE # Cf� � — Address: Z22d f --'0Y1 s -i Tel. # --S- Attach Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost:'$ C� c�� C (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: ( ; "�' ° -� Tel. # �X Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 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 $1050 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 [ ] CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1999 6431 University Ave NE : Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES HEATING COMPANY 41;1e2l0l;w /)`P�7/iag V - MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00 Signed By � G Tel No. h a- 7r0- 3 k -P PLUS THE $.50 STATE SURCHARGE L` \QIL REINSPECTION FEE $42.00/Hr Approved By ..,& Rough -In Date Final Dat *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE written permission from adjoining property owner. JOB ADDRESS J TZ 67-114 AUS RATE SCHEDULE 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 Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Fumace $ 30.00 $ �D representations stated in this application are true and correct. (Side Vent - Fill Out Back) Gas Piping (Needed with new fumace, $10.00 $ 1 111,,,, dock but not replacement) OWNER W S'4 2 a , Gas Range $10.00 $ BUILDING USED AS 2e S t -2>e N S e Gas Dryer $10.00 $ ESTIMATED COST _� 70®00PERMIT NO. / 7 / *Air Conditioning - All Sizes $ 25.00 0 0 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Aid Trade Namely p2,c AN Na&q�,,�t Size No. -?47-oo.jR �o Commercial/Industrial BTU 7S ®ego HP J V3 EDR 1.25% of Value of Appliance or Work $ Fuel Q,c Total Connected Load % 0 3.2 o a State Surcharge $ .50 Bumer Trade Name Size No. TOTAL FEE $ 551, SSC BTU HP EDR HEATING COMPANY 41;1e2l0l;w /)`P�7/iag V - MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00 Signed By � G Tel No. h a- 7r0- 3 k -P PLUS THE $.50 STATE SURCHARGE L` \QIL REINSPECTION FEE $42.00/Hr Approved By ..,& Rough -In Date Final Dat *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE written permission from adjoining property owner. Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIl MY AND STACK VERIFICATION The undersigned. hereby verifies that the existing chimney or stack: a L 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 ("S No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (v� No ( ) 6 Has total heating BTU's of p 3 200 All other BTU's TOTAL BTU's 16 3 2_0o 7. Has a liner been provided for water heater Yes ( ) No (✓f 8. Has combustion air been provided for water heater Yes ( ) No (,I� Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. William Backstrom 572 67 Avenue NE Fridley, MN 55432 Re: Final Inspection at 572 67 Avenue NE Contractor: American Heating & Air Conditioning Dear Mr. Backstrom: A mechanical permit was issued on June 3, 1999 to install a furnace and air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee'that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION G6,,/1 FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 6C���6 A 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �. JOB ADDRESS :Z RATE SCHEDULE OWNER Residential Rate TOTAL " Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ ESTIMATED COST 64 PERMIT NO. (Side Vent - Fill Out Back) o3 Gas Piping (Needed with new furnace, $ 10.00 $10-60 but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units_L— Circle One (Steam) (Hot Water(Warm Air Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/ Industrial j.25% of Value of Appliance or Work State Surcharge TOTAL FEE Burner Trade Name Size No. BTU HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. J . . 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( W No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes (X No ( ) 6 Has total heating BTU's of d, All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes Q0 No ( ) 8. Has combustion air been provided for water heater Yes ( �5 No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: •t—�- ��v\ Date: 2 ? 1P 9 I CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 9, 2000 William Backstrom 572 67 Ave NE Fridley, MN 55432 Re: Final Inspection at 572 67 Ave NE Contractor: Fireside Comer/Allied Fireside Dear Mr. Backstrom: A mechanical permit was issued on May 27,1999 for the property located at 572 67 Ave NE to install gas piping for a fireplace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAV NSEN Build' g Inspector SUBJECT City of Fridley 313 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF AOP110VED By 612-571-3450 910-F15 8/21/00 JOB ADDRESS 572 67th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 7 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Backstrom 572 67th Ave NE (763) 571-3461 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors, Inc. 341 79th Way NE Fridley, NIN 55432 763 784-8936 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20098700 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 10 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house $ garage soffets and facia and trim 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be place over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED 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 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 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 $ 648.00 w4. 32 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR OCAL LAW REGULATING CON- STRUCTION R THE PERFORMANC OF NSTRUCTION ] 67.25 Fire C $8.65 /� ter/ PLAN CHECK FE TOTAL EE Lice S S.0 ;' .22 S.GN4TURE 0F CON'RACTOR OR AUTHORIZ/5 AGENT 104TEi N R E ALIpAT D $ IS,,TJft PE ITj r S-GNATUAE OF OWNERi19 OWNER BUILOER. ,DATE, Bl NSP MATE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � -� '�' G � ���. 6 Legal Description: S r na k- &..,n r L Owner Name & Address: Contractor. N e., r- 7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: W Tel.# MN LICENSE # Tel.# Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type; t✓ -P- 3 cfersstnated Cost: $ - y Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: '(^ a APPLICANT: 44A Tel. # 7C- - .ate 72 - 12 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge `tiWOI STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application Fee Schedule on Reverse Side r $ r) . .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1100 per SAC Unit $____S - 60 $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 [ ] $ 13 s ..