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PRE 2010 DOCSSUBJECT P ----' City of FridleyIr ®8 7 8 AT THE TOP OF THE TWINS P BUILDING PERMIT , RECEIPT NO. I ` _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. JJ % (Ll r _3 CITY HALL FRIDLEY 55432 ''j NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 6/14/91 JOB ADDRESS 1010 67th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Michael Servetus 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders Inc. 6240 Hwy #65 NE #208, Fridley 55432 574-9871 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 ko NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 48' x 28' Dwelling; a 20'' x 32'' Garage? a 101-x 12'.Deck 9 CHANGE OF USE FROM TO STIPULATIONS Minimum walkout or finished grade is 868,9'. See notations on plan. Provide sod in the front-and side yards. Provide a hard surface driveway, Provide City with copy of verifying survey before capping, Make sure there is 10 feet between garage and garage to west, Paid $1,500.00 Park Fee. SEWER LOCATION: Approx. 6' Deep in Street.. 128' W of MH. (Inv. 868.20) WYE ELEV. 868.71 TOP OF FOOTING: 871.96 Minimum WATER LOCATION: In same trench (within 101) and E of Sanitary sewer. DRIVEWAY DEPRESSION: Existing TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR 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 80 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8g 900 $44.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE / Fire SC DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $594.50 $650.00 / $89.90 STRUCTION OR THE PERF OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE lo®$1 379.35 + PF SIGNA E OF CONTRACTOR 5PIAUTHORIZED AGENT ID/E1 WHENROPER T THIS IS YOUR PERMIT BLDG iNSP NATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI [ Effective 1/1/91 ADM [ ] R-1 AND R-2 ALTER [ ] EuildinJ Permit Application �i Co structian Address:!�1 / O 7 G CQ-, e- v regal Description: owner name & Attach to this application, a Certificate of Survey of`-th lot, with the proposed oonstruction drawn an it to scale. LIVIIr. AREA: Length Width 2g— Height Sq. Ft. GULAM ARTA: length 20 Width .3 Z Height Sq. Ft. U= AREA: Length f J Width �[ Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Canstruction: _ Estimated Oost: $ _ Approx. Ompletian Date: ,9. U Proposed Driveway Width If New Opening Is Desired: jl Width + 6' See Back Pa e DATE: Tel. # QTY OBE OUIIY Permit Fee $ S'Clq.5 o Fire Surcharge $ <rj.q 0 State Suri rge $ o . 4 i SAC amrge $ toS-C)60 Driveway Escrow $. Park Fee $ J'sw ..00 Sewer Main urge $ ur.ATlaNs : 1. 599. S' Fee She cn Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Neoessary [ ] Not Necessary [ ] 1 b_ (25 1� -fs— h 7:2- 2Z Alm '�- �L �s� v 99 —� ,,Lo) 9l al :j:l John 6radle M,h�%��turcd consultants kw.SSE0, YN. W*9 Mi_ (E121 -4l4- 772 -- �. = - — - -- •�" a ----- Plan " Date -s -z"-'0,t Owner Contractor, Site Address: I)TOTAL EXPOSED WALL AREA sq. ft x'U"11 I 2) TOTAL EXPOSED ROOF/CEILING AREA 3►a sq. ft. x'U11'4116 WALL AREA CALCULATIONS: 121 sq.ft.x'U" •4z = <=a. % asr14 TOTAL WINDOW AREA GLAZED .TOTAL DOOR AREA TOTAL GLASS DOOR AREA GLAZED TOTAL FIREPLACE WALL AREA TOTAL WALL FRAMING AREA NET INSULATED WALL AREA TOTAL RIM JOIST AREA TOTAL FOUNDATION AREA (EXPOSED) TOTAL FOUNDATION WINDOW AREA 3� sq.ft.x�U" 4 �I 'D sq.ft. x'U" ' Z 16"2 vv�� sq.ft.x'U"�'— — I 1 1 sq.ft.x'U" ' O = 5 , sq- ft. x'u",4+ = C61 (� sq.ft.x U" > a . _7G sq.ft.x'Uif i = sq.ft. "U"�—= 3) TOTAL If item 3 Is the some as, or less than Item 1, you have met the Intent of 2 MCAR 1.16008 A and 0. ROOF/CEILING CALCULATIONS TOTAL SKYLIGHT AREA TOTAL ROOF/PEILING FRAMING AREA NET INSULATED ROOF CEILING AREA �R. Sq.ftx'U" — 2 sq.ftx'U 1179sq.ftx'U"',021= Z5.9 1 4) TOTAL . Z� If item 4 Is the some as,or less than Item 2, you have met the intent of 2 MCAR 1.16006 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the sum of Items ( and 2 shall " be greater than the sum of Items 3 and 4. +4) _ — I hereby certify that the building here described meets or exceeds ate o es Energy Conservation Act. - (signed) 0 VENTED CONSTRUCTION CEILING SECTION (INSULATED) (1 interior air film 0.61 (2 _4/� *ect-ro.y L I5/0 1,.,,.�,44 (4 exterior air film (stili) 0.61 TOTAL R U = 1/R CEILING FRAMING SECTION (I interior air film 0.61 (3 �LCw►. I ,., y 33 (4 interior air film 0.61 (5 Bunches of soft wood A.r. TOTAL R3"' , f 3 U = 1/R DZLA CEILING SECTION ( INSULATED) ( 1 interior air film 0.61 (2 (3 (4 exterior air film (still) 0.61 TOTAL R U = I /R CEILING FRAMING SECTION ( (,interior air film 0.61 (Z (3 (4 interior air film 0.61 (5 inches of soft wood _TOTAL R U = I/R EXPOSED BEAM CEILING SECTION (1 Interior air film 0.61 (2 (3 (4 (5 exterior air film 0.17 TOTAL R L 2 1/R CONSTRUCTION FRAMING SECTION 1 interior air film 0.68 3 SZ inches of soft wood L.v1 q Zsl �c 4�ir#ta+E L o 5 6 exterior film 0.17 TOTAL R I L o y U = 1/R % 22 SECTION (INSULATED) I interior air film 0.6 2 V, ,4S 4 g61 sZ 0--J • -4-e ►� � , o �. 5 s i jr, b 6 exterior oir film 0.17 TOTAL R Z; - 1 "1 U = VR .4 )IST SECTION I interior air film 0.68 2 ez-zm 1 --Js 19, o 3 1 't '� ---- to ,..,,,.v , 0`1 4 e-JILINFWPE L , o;., 5 -J!rq. .&( 6 exterior air film 0.17 TOTAL R 7-4-16,21 U = I/R o 0 ATION SECTION I interior air film 0.68 n 2 1.'}. 3 p—tc- I 'i 4 exterior air film 5 0.17 TOTAL R �1S U = 1 /R �" CERTIFICATE OF SURVEY for: BRICSAER BUILDERS p Denotes Wood Stake Set For Excavation Only ---.- Denotes Surface Drainage ( ) Denotes Proposed Elevation x De notes Existing Elevation 8'20. lb Top of Block Elevation V0. Garage Floor Elevation 847.Z Lowest Floor Elevation Type of Building: Benchmark: TNH 681If Elevation= 870.)6 t4TEE T4 LEY s. DOES NNS AND EI.EES tON Y` E CI' f� OF Ujo tSY LO MAT ON PURE ON SHp LD -VIAE CI3VtP% - s FOft I�� T"%S 1N 7TH RYE N U E TNtS PERSONS TN N ANDD IT ON v�. • + } S 88""'49• w PIsoo r $ b ?•rsi �� +g'M9 $F2G_ 1870.2 i�N 20 12 N. E. i � S I L--35-- PoPosed Heusp v 43 N P.T. 00 VO S 88' SS' 49" W W Scale: I" =30' o Denotes Iron Monument Bearings are assumed WARNING Before digging call for au utility locations 454-9002 REQUIRED BY LAW .b orV �► �b� Z5 Lot 2, Block 1, MICHAEL SERVETUS 2ND ADDITION, Anoka County, Minnesota. Midwest Land Surveyors & Civil Engineers, Inc. 199 Coon Rapids Boulevard, Suite 212 Coon Rapids, Minnesota 55433 Tele. # 786-6909 FAX # 786-9208 I hereby --e Ify that this plan, specification or report was prepared by me or under my supervision and that 1 am a duty registered Land Surveyor under the laws of the State of Minnesota- and innesotaand No certification whatsoever is extended to subsequent owners, mortgagees or title Insurers, unless this survey has been redated for this purpose by the surveyor. Dated this 30TH (qday of Mou , 1g 9! . By % Qtf Registration No. MR5 Minnesota Licensed Land Surveyor Job No. 91-254 Book - Page S4 X42 r% & ? 4 �1 r�l zl� N M —11 "W CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixcures N 7.00 1s Old Opening, New Fixture U S M Y Beer Dispenser Water S 5.00 a S Blow Ott Basin S 7.00 - S w o S' .�+ a r: g $ Heater - S Sump/Receiving Tank S 7.00 r. 5 Water Treating Appliance c $ 10.00 - S Mater Neater - Electric S 7.00 - $ Water Heater - Gas $ 0 0 Gas Range $ w '� n -w 8 .o+ a n a tl a r b u 0 i i � 3 a uoB�>g 3 go 3 K 1 1st f I - 2nd tiS w 3rd 4N IA) - Future Connection Opening Connected with Sewer (�) - New Fixture. Old Opening Yater RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixcures $ 7.00 - Old Opening, New Fixture S 4.00 - S Beer Dispenser S 5.00 a S Blow Ott Basin S 7.00 - S Catch Basin S' 7.00 - $ Rain Mater Leader $ 7.00 - S Sump/Receiving Tank S 7.00 r. 5 Water Treating Appliance $ 10.00 - S Mater Neater - Electric S 7.00 - $ Water Heater - Gas $ 10.00 - S /0' 6 Gas Range S 10.00 - $ Gas Dryer $ 10.00 - $ Back Flow Preventer Required ( ) Yes (\,4, No Type S 5.00 - S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or Appliance State Surcharge S .50 REINSPECTION FEE $30.00 a2 TOTAL FEL' 51 c36.9) Effective Date January 1. 1991 Job Addre::s /L ( A — CL 177) V Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 Vie undersigned hereby makes application for a permit tow 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 eorrw t. �%) KIND OF BUILDING 1�-F-C�/�,r�l / h oeCz- USED AS TO BE COMPLETED ABOUT a0 ESTIMATED COST 5-090 ,� OLD - NEW BUILDING PERMIT NO. PERMIT NO. /r C, 17 /.� Company Signed [e f �"7 7/ / /�.-7 Tel. No. �J 5- / ROUGH Ifisp. Dat FI AL LISP. / Cato is n APi-WJAL VOR MINIMUM FL•:E FOR ANY PLUMMY;C/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 �,r $ 10.00 $1 $ 10.00 $ $ 10.00 $ *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB o -6 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this applicati n are true and correc ' � 6 ,1991 BUILDING USED ESTIMATED COST 73 PERMIT NO. i '_ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating its_ Circle One (Steam) (Hot Water(Warm Air) Trade N me .K-� Size No. BTU OD HP EDR Fuel Total Connected Load :5 2 Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By �'✓' Tel No. Approved By Rough -In Date Final Date �0 _91 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 0 0 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 ( ) No ( ) 5. 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 HOUSE HEATING TEST RECORD ADOREss 20-10 6 APi. FLOOR CITY �S SUNURS� • OCCUPANT OWNER HEAT LOSS DATE HTO. INST. OAS CO. METER BADGE 9_ SOLO BY r mer INSTALLED SY ---- Electricel Weft Ey - Ors LlrA B, el j. c ,l�`siis�.ers TYPE Oft HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER -- GAS DESIGN ca"VERSION MAKE MAKE OF TURNER -- Model O Met%I Serie Mott. Si'U Ref1Ar — INPUT.--= MAKE Of FURNACE -- - -- Model CONTROLS THERMOS T T Now Plop °Vent Slre -'- Valv KIND OF LINER L im{t . �� L� - - — - - Died Now RMulete► — - - - Umit Setting ��° r - Ilfelrii Slie MUmber ------ - Fen Setting , c -i= CltltiKt�Cji Loeeflen Int♦Ide Outside _—_._.__. Pilot Trp. :!xj - CoAdf►udlen --- Pilot Ma Retans • Pilot {lot Timing F � �. Test Tep --- L.W. Cut bitDwf LlpMlnp Inst. — ---- - — rr PreesWe oy PereeMC01 L!_ Do's Ti',1i1� � — ,'y��►t,i��►ia.��'• Input CFH yti, JU e�. Oercent 03__575 --- cow*ily- .y Stock T•1Mp. 3$5_° 1G—Ptire.nt CO www of T(stttdf -- --- Fwrn 733 SUBJECT Ni City of Fridley THE TOP OF THE TWINS gUILDING PERMIT(72 ' ,AT r REC COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC.p1 / NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/17/92 JOB ADDRESS 1010 67th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 2 1 Michael Servetus, 2nd Addn SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders 6240 Hwy.#65 NE #201, Fridley MN 55432 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C:k ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14''6" x 12" Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1100 $.55 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- $ 27.00 Fire SC $1.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN P ERLY A D H IS YOUR PERMIT " s " 44 BLDG IN F1ATE SiGNATURE OF OWNER tIF OWNER BUILDER) IDATEI NEW [Effective 1/1/92 TY ADDN CIOF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 10/0 6 7 F Gc U -e /UC' Legal Description: LoT 93, Q3GvcI- I fl chae-L Seteue?mss -IL4 44JI-11m, Owner Name & Address: Tel. # Contractor: 8 A \ QW E 6Z Ii S u,_ ► L_ 0 GP__ s -�:tv c_ MN LICENSE A) (� Address: 6.; 4 0 N -w\, 65— ao i Tel. # S-21-1- q �7 / Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: •- DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length IU -6, Width Hgt/Ground 5- Z. X Q 1 Sq. Ft. Sq. Ft. Sq. Ft. 1/,,5' 1I iLn)'%.-s(a-c 1%kvv- y Corner Lot [ ] Inside Lot [ ] Ft. Yd Seth k T_ Side Yard Setbacks Type of Construction: 'Trea7'ec� o� s'r' CA., �e ck i � S Estimated Cost: $ 1166 Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ (Cman%*) DATE: - / Z APPLICANT: Tel. #:!i2 Permit Fee $ W Fire Surcharge $ . State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ ] 00 s 0� t7 ID I D 6 7, A OF /ve- a3AJCKA/Ff .. &LILDE-LS w p �S 44 6 Oi 1 C.INOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 February 20, 1992 TO WHOM IT MAY CONCERN Re: Soil Condition at 1010 - 67th Avenue NE, Fridley, MN Please be advised that on June 11, 1991, the City Building Inspector performed'a footing inspection at 1010 - 67th Avenue NE. The forms, soil and building location were approved for the pouring of concrete for the footing for the house and garage. Poor soils were not present at the footing elevation. Please feel free to contact me at 571-3450 if you have any questions on this matter. Sincerely, 110GU DARNEL G. CLARK Chief Building Official DGC/mh CC: Brickner Builders Inc. 67? 110TICB OF BOIL CONDITION �G,i So Dater //V, 19116 TH S 4CUMENT concerns the real property in Anoka County, Minnesota legally described as follows: Lots 1, 2, and 3. Block 1 Michael Servetus 2nd Addition This document constitutes notice to any buyer or other interested party of the condition of the soil of the above l described real property. Any buyer or other interested party of the above described real property is hereby put on notice that the quality of the soil of the above described real property is generally considered to be poor. The City of Fridley, Minnesota will require that the poil be bored and otherwise go through a soil correction process. 'Phe buyer or other interested party must submit a plan to the City of Fridley for its approval which outlines the soil correction process required to be undertaken. FOR: MICHAEL TUS UN TAR SOCIETY, INC. BY: . ITS:—& -17L _ STATE OF MINNESOTA COUNTY OF ANOKA The foregoing instrument was acknowledged before me this Izrll day of .Tu c .� , 19 57o, by 1& N, NOTARIAL STAMP OR SEAL S GNATURE OF PERSON AKING ACKNOWLEDGMENT THIS INSTRUMENT WAS DRAFTED BY: DAVID F. RIB %us;-0 PU8LIC • i William S. Forsberg, Esq. �, allo�cAco 3 3 3 Washington Av . N . # 315 M. commission lrpu,u Minneapolis, M6 55401 xnr�r tn► (612)349-9861 Recorded at Anoka County Recorders Office Atty. I.D.# 158501 July 18 at 1:45 with Jackie. Call 421-4760 Extension 1456 for verification. Will be returned to me about July 319 1990 by mail. Signed: A Phyllis B. Forsbe cmroF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 February 25, 1992 Brickner Builders 6240 Highway #65 N.E., #208 Fridley, MN 55432 Re: Final Reinspection at 1010 - 67th Avenue N.E., Fridley Dear Sirs: A final reinspection was conducted on February 25, 1992 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, DARR G. CLARK Chief Building Official DGC/mh NOV-07-2005 14:48 CITY OF FRIDLEY P. 02/04 WVO Permit No.• � �S -D Building WCHANICA.E Inspections RESIDENTIAL APPLICATION Rweived By: 7.63-572.3604 CITY OF FREDLEY Date Recd: DATE YOUR E-MAIL ADDRESS y>_ SITE ADDRESS /D/� l0 -2 A V e- /J L ._. .. ,. THIS APPLICANT IS: 0 OWNER XONTRA=1Z PROPERTY NAME; IRI F <E I, ' Z,. h e- 1 -0 STATZIP� 3 /G/U fh 11"e -11"e-6 G[TY7r )el �_. OWNER/ADDRESS: TENANT _ PHONE: iW 7&3 -7/- XLf 3 ;7 CONTRACTOR COMPANY NAME; e,- SUBMIT A COPY OF CONTACT PERSON: YOUR STATE LICENSE WITH STATE LICENSE # W DATE n ADDRES$�o2�03 i �C/`iJ,u 0V. CTIY � o/ �� S�-V'�a STATi�%.rt7�— APFLICATION PHONE -2 �� -7 FAX �DS� -74T - % PERI►M TYPE 'YSINGL£ FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK )�Aw 0 REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK -/- l c. , u �e of CIS 4 , re %C C' L%al PER MS 16B.665 the penait fee is a minimum of USA 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 vaMRB LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PM FIXTURE, EXCEPT wH= NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: Jel- 1 MODEL Oi0 /t/T9 SIZPIBTU 0 MFG: VMODEL: SIZE/BTU MFG: MODEL: SMMTU _A/C $.25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OM$10.00 NEW GAS OML $10.00 AIR TO AIR EXCHANGEBR $15 _FIREPLACE (WOOD) $35.00 BOILER $3$.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHtivOJEY LINER $10.OD DRYER $10.00 HEATER $35.00 —GAS _POOL DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR 515.00 '. Permit Fee $ ^ / -0 & Number of fixtures @0 $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ S 15.00 x $15.00 = $ TOTAL DUE S J142: Number of fixtures @ $25.00 z $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = S SO Total = $ 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 aceunite; 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 pemit 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 APPLICAN Ct �.! PRIM NAMES- d DATE �! - /-7 "&,,=5_ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 713-572-3604 Building MECHANICAL Permit No.fdk"QA&-%3%1 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date: 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 1I- /d - 0 YOUR E-MAIL ADDRESS SITE ADDRESS l() f 0 L-7 0- /Qui-• THIS APPLICANT IS: ❑OWNER CONTRACTOR PROPERTY / NAME: I ✓e L-6 h � ADDRESS:O I 0 67 � ,% A u— N c-. CITY F W_ . 4 (l.. STATE t"1'tJLIPTENANT 3, - O;NER/ PHONE: i 6 3• '5-71- $ 4 3 7 CONTRACTOR COMPANY NAME: W L .i Cl+, J 1x T -IJ I l CONTACT PERSON: C� lti. ✓ : J t2i SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH t/ ADDRESS: Bbl % t'( Q-1 `1 1�1� CITY FI21 of STATE e7 t�ZIP S5YI3 1 APPLICATION PHONE -7161 7 S 4 Q 1 9 '-i FAX PERMTI• TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK =n S �o l l 12�(�.ce-t v► Fe r �L.�1 A �— /Qf 4 C 6 h,.I a (' �� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: Co.- e- 4-1 MODEL: 4 C. V A % 1`a U - 1 _ b SIZE/BTU 540 c, MFG: Ca MODEL: V44 4 P -A t;-\ y SIZE/BTU -TU h MFG: MODEL: SIZEBTU )�A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _FIREPLACE XFURNACE $35.00 _GAS UNIT HTR $10.00 CHININEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 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 C PRINT NAMEC-J- - tr I DATE i t , 19- u City of Fridley Building Inspections Department b 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 0 `f d i111C1ll1� _ I ( Pellnit tio.: -01g a 7 IIlSOOZi011S y"a :. •i IT:�_i1Recsived :. I e 763- -36.04 i T � N V � t > -i Dain " �eM - -, -- ;,- DATE t/_ l.� " 0 �1 YOURE--iMAIL ADDRESS SITE ADDREsS J U 1'�'_ 7 A '->'- w e THIS APPLICANT IS: 10 OWNER _-'60NTRACTOR PROPER TY NAME: L o V1 G i OWNE1iU TEN�'�l'T ADDRESS: U 1 0 (� 7 � A,,o l N C CITY F� � o (� STATE PHONE: 'Z 1-:3 - % T4 ` J (C, 5 CONTRACTOR NAME: (i L %, I ✓ G,. t : H J e- 1 SUBMIT A COPY OF YOUR STATE STATE LICENSE' DATE LICENSE. BOND AND STATEBOND4 IwYP DATE CERTIFICATE OF ADDRESS: STATE t+ -1 ZIPbd INSURANCE. _SSV PHONE i b a '7S74 )L l c[ c( FAX Pmwu TYPE 12?SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OFWORg: ❑NEW REPLACEMENT DETAILED DESCRIPTION OF WORM V- 4_+A t,— PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to 5500.00, whichever is greater, for the hnprovemerrt„installation or replacement of a residential f]arittre, excluding the fixtn=. (This should reflect only the cost of labor) Labor cost under $300 = $15,00. Labor cost between 5300 to $500 = cast of labor X.05 = ' plus .50 surcharge OR FOR PROJECTS WHERE LABOR.EXCEEDS 5500, FEES ARE BASED ON 510.00 PERFIXTURE, EXCEPT WHERE NOTED. FIXTURES: (DEDICATE TO'1SAL NUMBER OF EACH BELOW). MINIMUM FEE 51550. _ BATE SniKI.AV FLOORDRAINS WATERPTING ; _SHOWER •_ BATHTUB _ GAS PIPING (NEED CITYLIC) SWIhdMING POOL _ WATERSOFINER (SM) _ _ CLOTEES WASEM _ K1TC MSINK_ WATER CLOSET _BAC1<FL0W PREV. ($15) DISHWASI�A _ LAUNDRY TRAY _WA=BEATER (535) FOR PMGA71ON —WATER METER _ OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = 5 Surcharge .50 Number of L -Mmes id 515.00 x $15.00 = $ OR Number of fixtures @ S35.00 �_ x $35.00 = $ 3 S• u� TOTAL DUE 5 State Surcharge= 5 .50 !MINIMUM $15.50) (MINIMUM 515.50) Total = 5 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED 1 hereby apply for a plumbing permit and 1 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 Far a permit and wort: is not to start without a permit on site: that the waric will be in accordance with the approved plan in the case of all -%vork which requires review and approval of plans. ' IGi IATIJP.L nP ;1PPLIC.'sNT t O r �-{f b� P PRII14T i IAME.0 k d ' ', VL t1aIQ DATE I l - O n r • 1 6 ..11PPOVED BY ?ATr ?� L _ .L' `I(✓ [ r: T ? �..R:-:1Z:Fr_ r _ � iC. E s4 L. NT) ii ' �R[: .1�[I? •-P..E . 'LtOliIRFD i=•"}P.: 3.117L"DII�ICi:..�:L,::.., i� 1••. :�%•� �U �6IIICFI�1�UB`��119k?„�.> z _4''enue Jt. ;'IClle" .'414 .-_--