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PRE 2010 DOCS01 741 SUBJECT PERMIT City of Fridley 4 7 7 AT THE TOP OF THE TWINS BUILDING PERMIT JR;EC i PT COMMUNITY DEVELOPMENT DIV. UPROTECTIVE INSPECTION SEC. � _ r I , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 5/4/94 JOB ADDRESS 1001 67 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders 6240 Hwy 65 NE #201 Fridley 55432574-9871 3440 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR WNWHINSEMOVE 8 DESCRIBE WORK Before digging ca or Construct a 43' x 27' Dwelling with a 21'8" x 22' Garage all utility locations REQUIRED BY I AIAJ 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide the City with copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. Provisions shall be made for the control of drainage between property lines. Remove all construction debris. SEWER LOCATION (91 feet Deep In Street -plus or minus) 70' E of M.H. (Inv. 863.60) WYE ELEV: 863.32 TOP OF FOOTING: 866.82 WATER LOCATION: 10' E of Sewer Service DRIVEWAY DEPRESSION: 16' ± 6' = 22' x $13.50 = $297.00 THE CRY OF FRIDLEY DOES NOT GUARANTEE THE SEPARATE PERMITS REOUIRED FOR ACCURACY OF UTILITY LOCATIO^IZS Af%«, I= .EVATIONS- WIRING, HEATING, PLUIViOiNG AND SIGNS. THIS DATA IS FOR l;vh'v' . ,; I AND PERSONS U"S! •'G R_yf 4Q@9*FOR TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPA ATE PERM TSA ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 1 STALLS GARAGES VALUATION SURTAX FIRE SC AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $86,195.35 $43.10 $86.20 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- $581.00 $800.00 `I' STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $1,515.30 + DW SIG URE OF CONTRA&b7 AUTHORIZED AGENT IDATEI Vy ERL ALIDATED THIS IS�UR P RMIT �PR SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG ryAT 01 741 s D0 3 yY0 Effective 1/1/91 ADEN R-1 AND R-2 ALTER Building Permit Application constnxtion Address:10 0 1 7 a- L) C, A.) Legal Description: owner Nam Contractor: Attach to this application, a certificate of Survey of the lot, with the proposed cmwtniction drawn on it to scale. Livim . AREA: Length -413 width 617 ae-ioit s4- Ft. mmm AREA: Length Width Height A� Sq. Ft. DOM AREA: Length Width Hgt/Ground — Sq. Ft. aimm: Corner lot Inside Lat lype of Construction: AMrax. Comletion Date: Ft. Yd Setback & 5,7' Side Yard Setbacks 10 Estimated Cost: $ �4 Proposed Driveway Width if New opening Is Desired: Permit Fee I Fire Surcharge $ State SurduaaVe SAC Marge Driveway Fs6row Park Fee Sewer Main Charge fe-- on SUPULMONS: $' 1.56,5,-130 Z26. --Ft. Width + 61 See Back Page Cin USE Y 1161 Y /03_:2 k/ 14,9,? ;7 1-1,139q,�, 14Atj )( / /.(')0 :7 91 q'1'V' 00 Fee Sctwdule on Reverse Side .001 x Permit Valuation (1/10th M0/$1,000 Valuation per SAC unit Alt. *IWI or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary e [] 1. AF * * * 2422 Enterprise Drive ** PIONEER LANDsuRVEYORS•CIVIL ENGINEERS Mendota Heights, MN 55120 engineering LAND PLANNERS. LANDSCAPE ARCHITECTS (612) 681-1914 Certificate -of Survey for: BRICkI EA BUILDERS ' House Address: 67th! VE. NE. Model Name: I 75. GO S 89"53'56" E THE CiTY OF FRIDL DOES NOT GUARANTEE THE ACCURACY OF OMIT LOCA T IONS ANO ELEVATIONS. 3 THIS DATA IS FOR I FORMATION PURPOSES ONLY, AND PERSCONS USIN THIS INFORMATION SWOUtD VERIFY IT ON THE ITE. e _ F.o.uspj— � I � I to Go✓ N i ZI'.66 �S sa p�3 61.93 UR 55'4` W CK� 6?TN RVF., NE. • ow -0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION •Q Denotes Proposed Elevation . Lowest Floor Elevation: - _ _ Denotes Drainage & Utility Easement Top of Block Elevation: — Denotes Drainage Flow Direction —o— Denotes Monument Garage Slab Elevation: —$— Denotes Offset Hub Bearings shown are assumed ' LOT 4; BLOCK .i _MICHAEL SERYETTuS ADDlrionl Ano Ka COUNTY. MINNESOTA I hereby certify that this survey. plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor`' under the laws of the State of Minnesota. Dated this Z 7 day of A.D. 19 c Scale: 1-1Lc-hQ30 LwA I(� (411, P- C 1A) f� v pf -ef -C Yz v - Y65.,3 2-f oe rOO7-/,O 6 2/0. 82 7� g6 711,V -P�e F4,12f F -ND 0S c OXls7l oO G �jeB ev i cvovc.o }2e C'Pco n rh ewe�r� Uri i ur- �-HiULEY Iluly UiV. 6431 University Ave NE Fridley, MN 55432 572-3604 ul t;lLU�1; vi OdI IUdIY I. I.9`00 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL pD New Fixtures _J/ $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas �_ $10.00_ Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type • $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 did TOTAL FEE $ I JOB ADDRESS 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. Ownerl� Building Used As ('c E L L (ti Estimated Cost PERMIT NO. �cC PLUMBING COMPANY_�s���y�G�l�/�� SIGNED >�o���, TEL No. 111 A# Approved By Rough—In Date _1" inal Date Na— MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00cQ PLUS THE $.50 STATE SURCHARGE l(� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 0 a - Effective On January 1, 1993 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00 PLUS THE $40 STATE SURCHARGE 1-d a y1 REINSPECTION FEE $30.00 *Alr Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING Tel No. �L- A" Approved Bkx Rough -In Date Final Date !� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 Furnace $ 20.00 $,90.0 representations stated in this application are true and correct _P/ ,193 Gas Piping (Needed with new furnace) $ 10.00 $ZQ OWNER Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ _ ESTIMATED COST PERMIT NO. *Air Conditioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE_AND OR_BURNER All Others/Repalm & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heatin its Circle One (Steam) (Hot ater (Warm Air) 0 Trade me Size No. - ©eoC C/ Commercial/industrial BTU HP EDR i% of Value of Appliance or Work $ Fuel Total Connected Load g eek State Surcharge .50 Burner Trade Name Size No. TOTAL FEE BTU HP EDR _ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00 PLUS THE $40 STATE SURCHARGE 1-d a y1 REINSPECTION FEE $30.00 *Alr Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING Tel No. �L- A" Approved Bkx Rough -In Date Final Date !� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( i 2. Is free from rust or deterioration Yes ( j No ( ) 3. Has no foreign objects lodged within Yes ( ) No { ) 4. Is securely supported Yes ( ) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (613) 571-1287 July 29, 1994 Brickner Builders 6240 Highway #65 NE, #208 Fridley, MN 55432 Re: Final Reinspection at 1001 - 67th Avenue NE, Fridley Dear Sirs: A final reinspection was conducted on July 29, 1994 of the above address and the structure was approved as constructed. Occupancy of the structure is approved. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, JOHN PALK-(:fI O Chief Building Official JP/mh SUBJECT -L'-RM�T"N'C�r__._ City of Fridley CL- � 3602-1 6a2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ` -------COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/4/95 JOB ADDRESS 1001 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura Moore 1001 67 Avenue NE 571-9316 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 O NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install foundation for future deck and three season porch 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Separate permit necessary to build deck and three season porch. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2,000 $1.00 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 $45.00 Fire SC $2.00 PLAN CHECK FEE TOTAL FEE 48.00 SIGN 1URE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDATED THIS IS Y UR PERMIT 7 BLD )NSP A E 7,77 G ATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: FR Effective 8/l/95 Owner Name & Address: Atz A* MooAe- /p 6 ! IV,6 � d ve . Tel. # J -T/ , !j,3 / Contractor: Address: 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: Length Width Hgt/Ground Sq. Ft. OTHER: r—awdi¢ ion( jroec F Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #�f,? O�Z,;7-8 CITY USE ONLY Permit Fee $ c'-1 Fee Schedule on Reverse Side Fire Surcharge $ 2, eAJ .001 of Permit Valuation (1/10th%) State Surcharge $ /, $.50/$1,000 Valuation SAC Charge $ $850 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: 41. SUBJECT City of Fridley 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEV 55432 NUMBER REV DATEPAGE OF APPROVED By ' 612-571-3450 910-F15 10/8/96 JOB ADDRESS 1001 -67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura Moore, 1001 - 67th Avenue N.E., Fridley, MN 55432 571-9316 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Laura Moore (same as above) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK $7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct deck. 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. ul w1wARNING ® Before digging call for all utility locations 454-0002 REQUIRED BY LAIN 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 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 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 $2,341.68 State SC $1.17 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- $74.75 Fire SC $2.34 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $78.26 ATUREO CONTRA`CTD UTHORIIZ 6AGGEE�NT IDATEi WHEN PRROOPEERLY V ATED THIS IS YOUR PERMIT ✓✓ BLDG i SP JS�I L� OATS S.GNATURE OF OWN1 R tI NER B ILDERI IDATEI NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Al ConstructionAddress: /00/ � 7�� .4 V e. / . l ll ' �r Effective 3/1/96 0 iQ I d / e k/ /'7 A/ , Legal Description: ' Owner Name & Address: , *Ie AA W0,09 e_ /OGl � �i��/e /(�, �i,�l. # ' 7f Od /4 Contractor: 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: . VUf Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ ��� Estimated Cost: $ ;0, 3YI, 6 Approx. Completion Date: (Cost on Back) Driveway Curb. Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9- 56 - & APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: a $ 1, 3q $ - CITY USE ONLY`3- Fee Schedule on Reverse Side 7 ff F .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $900 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 [ ] * �t 2422 Enterprise Drive -* PIQNEER LAND SURVEYorrs•cfv*LENCANEEas Mendota Heights, MN 55120 LAND KMf4Cfft-LANDftAftAftaMUCTS (612) 681-1914 Certificate of Survey for: RRICkuFA &Ult_aERS House Address: �z71� 14yF, tV�'• Model Name: ;OC I 6 7 %4i - e ly Rs eu: 1 t 8�a.1 7S oo S891OSSOSC"E { do to e � b 4a 18 an 5 Cd. WAG` _ +op 8t 871.y 3 k, rev �"• E 1 v - . Et�rr $73.1 z+-34 3 h� �. �ryc) 3 Tr- 01.13 58'55'44` W SOX 41 869.4 67rp _ x�� - 1J - - . -�umI�13 alp qliM 2ugw:)o.Id aiojaq pannbai aq 11yA c,% A ,rte in nIPITIn .1a1 V i O/V X7 . . . . . . . . ........ . z -I'Todl i), `l TO e.4 4 d-:2`/.!0 l %!a Po 7' ter%CoWrs /e—, R lock). v/: .. rs -3r rk rl-, 0 SUBJECT PER City of Fridley 6 0 7 8 AT THE TOP OF THE TWINS BUILDING PERMIT f ' , RE O. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �-94/ r NUMBER REV DATE PAGE OF APPROVED BY ' "1 - CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 5/21/98 JOB ADDRESS 1001 67 Avenue NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura Moore 1001 67 Avenue NE 571-9316 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New View Construction Inc 2355 Benjamin St NE M ls. MN 55418 782-8535 3894 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 % B DESCRIBE WORK Construct a 12' x 14' Porch Addition and a 12' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 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 $5891 $2.95 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- $112.25 Fire SC $5.89 STRUCTION OR THE PERFORMANC OF C NSTRUCTION. PLAN CHECK FEE T TAL FEE License SC .00 $12 09 (D olEi RLY V TED THIJ IVfOUR PERMIT f(rNATUREO;Z'Ob'N.*ACT�O'RZ7RAUTHORIUENT _.00PROP BLDG iN DAT! SIGNATURE OF OWNEROF OWNER BUILDER1 iDATEi 0 NEW [ l ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1450 D / 4 , Legal Description: Effective 1/l/98 Owner Name & Address: L v v^ .4 f oo e Tel. #i!C2z g ?4,4 Contractor: MN LICENSE # R 9 � Address: --C7/-, W,-4- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT LIVING AREA: Length Q Width / Height g Sq. Ft. GARAGE AREA: Length Width Height- Sq. Ft. DECK AREA: Length_ Width Hgt/Ground Sq. Ft. OTHER: Construction Type: J et%odL�LY-19M P Estimated Cost: $ 12- ODO � %/,z (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $, DATE: —z-120APPLICANT: tk L - y Ubu) CDwcf, F—*vc.. Tel. # A2 CITY USE ONLY Permit Fee $ 12,25" Fee Schedule on Reverse Side ^ire Surcharge $ � .001 of Permit Valuation (1/10th%) State Surcharge $ J, qV' $.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 $ 4 I STIPULATIONS: SUBJECT PERMIT NO. City of Fridley 27099 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. _ _ r � � PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED By ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/11/98 JOB ADDRESS 1001 67 Ave NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laura Moore571-9316 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New View Const Inc 2355 Benjamin St KpIR 782-8535 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 XM REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 28 S Tear -off; repair siding -west side. 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCE . NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE RE D AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SA TO BE TRUE CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCESOV NING I TYPE OF WORK WILL BE COMPLIED WITH WHETHER S // C I D HER IN OR NOT. THE GRANTING OF A PERMIT $2835 $1.42 DOES NOT PRE M T GIV A THORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O N THER SATE OR LOCAL LAW' REGULATING CON- STRUCTION RFO NCE OF CONSTRUCTION. $74.75 Fire SC $2.83 PLAN CHECK FEE TOTAL EE License .00 $8 .00 SIG R OF CONTRA TOR OR AUTHORIZED AGENT IDATEI WRO ERL IDAT IS IS R PER IT BLDG INIP i L. 11AIE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 fyq BUILDING PERMIT APPLICATION ConstructionAddress: We) o7j' 4V'r. �) � Legal Description: Owner Name rrrvj ddress: tkA R -PT Y� � por=k; Tel. # 5 � I — g �),4 Contractor: l �") CZ* - I J\j C.- MN LICENSE # 0.00 3` 14 Address: 2, l A PA PLS Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: End i4v usf, 4 & z , O sea, ei YL AFF �,+,� t a l- t,��S� s,�� 1)395 �of Construction Type: - Estimated Cost: $ (Fee Schedule on'Back) �S Driveway Curb Cut Width Needed: Ft. + 6 $ _ $ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: I -06 Tel. # j3 -z-, – 05 35 - CITY USE ONLY 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Recd: tq�v DATE December 8,.200r:) YOUR E-MAIL ADDRESS wnelsonCa7larsonplumbina.com SITEADDRESS 1001 - 67th Avenue NE THIS APPLICANT IS: ❑ OWNER MCONTRACTOR PROPERTY NAME: Laura Moore OWNER/ ADDRESS:1001 - 67th Avenue NE crrY Fridley sTATEMNztP 55432 TENANT PHONE: 763/571-9316 CONTRACTOR NAME: Larson Plumbing, Inc. STATE LICENSE #1 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448 APPLICATION PES 1. TYPE IR SINGLE FAMILY D TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW N REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 16$.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500,00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV FLOOR DRAINS _ SHOWER WATER PIPING —BATHTUB GAS PIPING amm cn7ucEmt) _ SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SIM: _ WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER `.-�Srr �. :f,Eii�:`+7^:s• ' .3a', j{ c$t%F f•; .�'•?v,�:`,l:Gti. • ,.tr'. Permit Fee 35 . QQ Number of fixtures @ $10.00 x $10.00 = $ Surcha�e .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ .35 ,50 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED 1 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 c all wort w ' h requires review and approval of plans. SIGNATURE OF APPLICIwel PRINTNAME Michael Malinoski DATE 12/8/06 .::r.n?xiy.�• ���: :� 4 .,. .�--u... .:57°. k:.. .'i} Y' 'Jl ., r;y , .;it. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building elcl MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 797 DATE 1 Z ' �' ©� YO�IAIL ADDRESS SITE ADDRESS 1 nC) �� V e e THIS APPLICANT IS: ❑ OWNER JJCONTRACTOR PROPERTY NAME: pOP'e- OWNER/ TENANT ADDRESS: 1 00 k L07 — CITY �ri -¢-cil STATEjjjNZIPGS d43a PHONE: CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN T INREN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDS: 9320 EVERGREEN BLVD STE EITY "COON'"°RAPIDS sTATEMN zIP55433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763--757-6701 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW KREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK L c � PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FDCTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) ��tt Equipment Installed MFG: L9Y dl MODEL.:St ZLV Q106` lLf SIZE/BTU O0® MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU _A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE _BOIL'ER $35.00 -F MNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCTWORK —VENTILATOR $10.00 GAS PIPING $10.00 $15.00 P << t�Wi vRh15 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL'DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00=x $35.00 = $ 35,06 State Surcharge = $ .50 Total = $ 31S. SG 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� NAME ROGER HOFFHEIN DATE City of Fridley Building Inspections' Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONSEXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building��q�-1 MECHANICAL Permit No.: - �1 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE I O O _% YOUR E-MAIL ADDRESS SITE ADDRESS I LSO < la1 v e �yl. THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME: t—a'-k c. r c OWNER/ ADDRESS: f\ye K & CITY r d l STATE MNZIP i qS;3 TENANT PHONE: j Lza - S -7 1.513 I kD CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN ? INREN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON°"°RAP.IDS sTATEMN zIP55433 APPLICATION PHONE 763 — 757 -- 6202 FAX 763--757--6701 PERMIT TYPE /SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Zvca�i I� p, c�c+ ps, i r �p nci �I-1 oy1�e^ PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: Corr, MODEL: RLAP n 1S -034 SIZE/BTU a S MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU AA/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 NEW _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 $35.00 _FURNACE $35.00 UNIT HTR $10.00 _BOILER _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 pilrDUCT DDm Wait "'Elm h,,y Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 4__x $25.00 = $ IRS -.400 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 4e q 3-O 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 e.-%. NAME ROGER HOFFHE IN DATE i ipLA S fl°�_` ..1 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS XEXISTING HOME 0 MAKE-UP AIR 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.