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PRE 2010 DOCS• City of Fridley, Minn. BUILDING PERMIT Date: June 18, 1969 Owner: Donald Fleigle Builder Address 4617 Polk St. N. E. Address Same Same LOCATION OF BUILDING No. 32 Street 67th Way N. E. ____, part of Lot Lot —_ 4 Block 3 Addition or Sub.Division . Edgewater Gardens Corner Lot --- Inside Lot —_ _X _ Setback __ 35.35 L - Sideyard 7' 12' Sewer Elevation 829.80 Ealwa 832-50 Apnxox Tnq of Fnnting DESCRIPTION OF BUILDING .eI7c 7s N9 10294 To be Used as: Dwelling & G. Front —56' Depth 26' Height 20' Sq, Ft. 1456 Cu. Ft. 28, 120 -- Front Depth _ _ Height — Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost y822000� _ To be Completed SEWER LOCATION - 118' East of Manhole WATER LOCATION - 129' East of Manhole 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 jp complian with all provisions of ordinances of the city of Fridley. �/ A, a I In consideration of the payment of a fee of $ 44.. 00._.., permit is hereby granted to Donald Fleigle 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 allrespect- to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinance. Clarence Belisle NOTICE: Sis permit does not cover the construction, Installation for wiring, plumbing, gn heating, gowar or water. Be sure to no the Building Inspector for separate permits for these Mena. APPLICATION FOR BUILDING PERMIT OF • OWNERIS N T i : r aR _I�• ADDRESS ADDRESS .2A,=.4 LOCATION ' OF BILDING NO. 4a STREET LOT BLOCK3 ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT__SETBACK , SIDEYARD�, SEWER ELEVATION TOP OF FOOTING 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: 1"!-Y� "Frt Depth % b y Height X0 .. Square feet % � � �:.� Cubic Feet Front Depth Height Square feet Cubic Feet Type of Conatructio. Estimated Co To Be Completed !L _Qz �T 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. DATE191,,9 SIGNATURE 234 Schedule of Fee Costs can be found on the Reverse Side.) p 0" C City of Fridley A/ q 311 Dept. of Ridge. phone 980-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Loeatfes .� �. e l 40 A Lf A I. A &? i L3 NITER MTR4 GAS Base 1st 2nd 3rd 4th 11-11 -- L_L_L_LJam_ �--L— Future Connection Openings Connected with * New Fixture, Old OpeningsSewer I Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ 2, Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 New Ground Run Old Bldg. x $3,26 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOT tb 1st 3 Fixtures ..... .. .... ....... x $2.00 $ e ° Additional Fixtures ..... .............. � x $ .76 $ ° `- O� Gas Range to 199,000 BTU .............. �_ x $6.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. .......... TOTAL FEE 2 K _ 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 fact and representations stated in this application are true and correct. Fridley, Minn-- ISEIPT ' 2 —� 190 Owner D o res n L- 1 Kind of Building -D t L- i�( f N S t n G 4, L - Used as i�� vin c-, To be completed about -- )no . i Estimated Cost, $ d a ®0 00 f -r ®r R 16.1 Old—New. Building Permit No �(_ _P rmit No. s Signed ROUGH FINAL /'' - ',.'I ^ 7 v By- - - Business Phone No Origin Permit for IFLUMBING AND GAS F ING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.. ur—M-Suraav111 yr vrvna Number. Sind and Location of Fixtures Stones GI F O S A 3 U < z C 30 m < m F Z m m Y < 2 m m = m m} a R 3 �- Y~ Z 2 O O LL W ; C m S m p Z Ft m 4 U m Z a K J m m L W m tQ WATER HTR. GAS ELEC. Basement 1st / 2nd 3rd 4th Connected with Sewer-Ct of Gas Piping for Openings A Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hered attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date N? 5031 .-14611 Permit Pee $ • 176;- City of Fridley (Oc-"t'b-c'u --.2 / 19-0 v Owner Location d-2 Kind of Building Used V To be Completed Estimated Cost $ 'U, C 00 d Old- ew. Building Permit Date Inspector. Inspector of Buildings. •z 1M -6.69-V Origin PERMIT for Power Rants and Heating, Cool= ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of_ Heating Make JL ,ryt� Oil feed ; Coal fired—, Gas fired ; Gas Authorization No. Remarks ��,�l Approved Final Inspection Date , 19_ Inspector Permit N° -- 4632 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., /V o J Q0 , 191A Owner o O a US rt- El ro 4, L Location 3,;t - 6- 9 Z6 i)� ts: Kind of Building r{: Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and a Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 over 3 gal. per hour—See Fee Schedule $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Z' Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ..... .................. 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL J 1st 3 Fixtures ..... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 1 .......... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH $ See Fee Schedule TOTAL FEE $ f L Ci Dept. of Bldgs. Phone 560-3450 qJ _ /_ -7 ZtPo' / City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /� Fridley, Minnnn- ti �O 19 6 9 Owner OA07-z'l ' U Kind of Building 4-��i�r� Used as To be completed about - ��NJy �-`%s� 19 ?e Estimated Cost, $ Old New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Cot Water ,)Warm Air—No- Trade Name a aka-� Size No. AN2 - 16-S- .1 19 Capacity. 6 9 Z Sq. Ft. E.D.R /� , d� 00 B,TiJ H.P. Total Connected Load 06 .330 Kind of Fuel �,Gt-dJ BURNER — Trade Name Size No- AM - J: •�" Capacity 6191-2-1 Sq. Ft. E.D.ft /SS a o to gTU H.P. (REMARKS -OVER) t Signed2 22-44Z& Ij C4101.42 Business Phone No- SUBJECT P City of Fridley 2 6 9 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT r ____ COMMUNITY DEVELOPMENT DIV. RECE)PT-NO. r � PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 8/4/98 JOB ADDRESS �XXdi%XK$iXCd� 32 67 Wav NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Schmidt 571-3807 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO DAK Const Services 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 C:k REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1834.80 $.92 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- STRUCTI OR THE PERFO M OF CONSTRUCTION. $59,50 Fire SC $1.83 F PLAN CHECK FEE TOTAL FEE . LA_ License SC $5.00 $67.25 SIGNATURE OF CONT ACTOR AUTHORIZEDAG IDATEi WHEN PROPERLY A IDATED THIS IS YOUR PERMIT O BLD NSP !� PATE SIGNATURE OF OWNER OF OWNER BURDERi IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 71 ti CG? %� Fe, y Legal Description: Effective 1/1/98 6f -7,q Owner Name & Address: c Tel. #S10 7 Contractor: �% Cc U, I a %� r�i c y MN LICENSE # Address: h i- C� H( 4 �5 Tel. # 2-- �G' 7&0(7 I,t,}. u r' ,� �- ��.�� g � �, � s Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF EVIPROVEM ENT Width Height Width Height Width Hg_ Ground Sq. Ft. Sq. Ft. Sq. Ft. d - Construction Type: e 0 e a- 5 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ c � DATE: " APPLICANT:Pov'��Tel. # 7 iS j cC TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee $ ��61 Fee Schedule on Reverse Side Fire Surcharge $ .3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 0 0 $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: Building BUILDING (USING THE 1997 UBC FEE SCHEDULE) Permit Ivo.:'�O Inspections OCCUPANCY TYPE RESIDENTIAL APPLICATION Received By: 763-572-3604 Plan Review $ ./ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation CITY OF FRIDLEY Date Rec'd: o 763-502-4977 FAX License Surcharge $ SO$5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-08 Curb Cut Escrow $ DATE "� `'I Q --' t- I>e YOUR E-MAIL ADDRESS , . e 1TD S tZs �t l7 G� G SITE ADDRESS $450 Conservation Plan Review Park Fee THIS APPLICANT IS: ❑ OWNER 0GONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME: J Total Due ADDRESS; -7" Way CITY I r�j STAT2/,L) ZIP TENANT PHONE: NAME: Gt ' � c Z►-� " ADDRESS: 6%M U W, Yu -e m t CITYCG I L,,,, t,, ct I f f S STAT 5 /L' ZIP CONTRACTOR SUBMIT A COPY OF PHONE1 lc S %f °J — �(�' G - ? FAX % (e G - YOUR STATE LICENSE STATE LICENSE # 0 3 L (v 7 7 EXP DATE 1© PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH 9 ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: — } f f�" . 2G e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING'�� ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES Ol „SHOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ -7, W57 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 $ SO$5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$— $Erosion Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ l Make checks payable to: City of Fridley Attach 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 Min�roLLons,ructioodes;that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in aith the proved plan in the case of all work which requires review and approval of plans. SIGNATURE Owl\NT PRINT NAME �� 1 ?.�j;%1z�t !h DATEaVt'fL APPROVED BY l 17't I AJd—Q. DATE