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PRE 2010 DOCSCity of Fridley, Minn. BUIMING PERMIT N® 4464 Date: 5.___Y .... Ce...._. .... _..... _........... .............. _.. Owner: .. �. 1ft - ...................... Builder ...........I ............ .. - -CA- _... ... �....__...... Address ........ Address p"4S�fr� ...._....-....._..__....._..._._.._...._.. _ __. _.__. _. -' ----- ---- .._....._ Lp"TION OF BUILDING No. ....Y11_........ Street ......................................... Part of Lot ..............-....... _... Lot ........ ........................ Block .....---... .................._.......... Addition or Sub -Division ... _ -&u ----......-�..�. sA� CornerLot .................................... Inside Lot ...........��.......... Setback .... � .----_-----------------. Sideyard .... - ®--.............................------......----- SewerElevation.......�J..,.... ............. -..................................................... Foundation Elevation ..... ....11.7. ........................... ................. .............. ... DESCRIPTION OF BUILDING To be Used as: ----- Front ....?.... Depth ..-..l Height _-...d....... Sq. Ft. CU. Ft..�®v� ............................................................Front ....................... Depth Height Sq. Ft. ..... -_......... ..... Cu. Ft. --................--- Type of Construction ...� - t .. Est. Co t. �P�_/ . d... _.......... To be Completed .....- ............................ -................. L 10LAT. ( L lI"�! � I 8 J� '-OV.Ef�II NTS ANQ, i v 1""G 1iE.� Fani.,Tia_�I"jS' In consideration of the issuance to me of a permit to struct the b lding ed a've, I a to do the proposed work in accordance with the description ab a set forth d in h all p sions of ordinances of the city of Fridley. -...........� .._.................. _ . _........_.._ Ce a' G' In consideration of the payment of a fee of $ .0...., permit is hereby granted to ..... .............. -............... .._.._....._.._......... ...... _.............................. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vialatton of any of the provisions of said ordinances. /1,', / I Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building Inspector for separate permits for these items. Application for Power Plants and Heating. Cooling. Ventilation, Ree igeratron and Air Conditioning Systems and Devices 4-7470 Dept. of Bldgs. Phone U, PARTIAL RATE SCHEDULE , S GRAVITY WARM AIR: RATE TOTAL, Location- Furnace ocation Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Trade Name Size No Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ Sq. Ft. E.D.R- BTU H.P. e-,- each add. 80,000 BTU ... — .................. 2.00 $ _ Replacement of Furnace .............................. P.00 $— Repairs & Alterations—up to $500.00 ... ............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ .*Q4-_42 2M 7-59 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ......... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL I= _ ROUGH FINAL— FINAL 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, � Owner %� 4— Kind of Building Used as �a 1940 To be completed about Estimated Cost, $ r/ Old ew. Building Permit No. `' Permit No. DESCRIPTION OF WORK HEATING or"q% PLANTS --Ste Hot ta-a Warm Air -No �SI`r '� 2�e�t� k�-e � C"E e,f/_ Trade Name Size No 404 014-2" Capacity Sq. Ft. E.D.R- BTU H.P. e-,- Total Connected Load Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. RAY N. WELTER H EATI N G C 4637 CHICAGO AVE. Signe MINNEAPOLIS 7v MINNES-OT4A 52 .*Q4-_42 2M 7-59 By Business Phone No- (REMARKS—OVER) (REMARKS—OVER) City of Fridley, Minn. BUILDING PERMIT N° .5933 Date:''" Owaer: "' Buil Address __ _ Address ION F UILDING No. Street r �__ �._ P f Lot Lot Block —Addition or Sub vlsio e 1 Corner Lot Inside Lot _ �ktbackSideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING �T be sed r Front Depth—. Height _ Sq.: Cu. Ft. Front Depth Height Sq. Ft. cu. Ft. Type of Construction TA444 Mt2_ Est. st _ — __ To be Completed — In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ '" ,permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordiaancea .017 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sues to we the Building Inspector for separate permits for these hems. Owner's Name APPLICATION FOR BUILDING PERMIT t•TTv Ilia LRTT%T-VV nrrMM .QATA Address A,4dress LOCATION OF BU DING No. l� Street art of Lot Lot, Z7 noc::c _ Addition or Subdivision Corner Lot Insid= Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To b sed as; Front -Depth Height Sq,, Ft. C Cu. Ft, Front Depth Height q. Ft. -- Gu. .Ft. Type of Construction Estimated CosC 4�2 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 co recto P DATE SIGNATURE T (Schedule of Fee Costs can be found on the Reverse Side). 0 LJ L� City of Fridley, Minn. BUR DING PERMIT Date: AUGUST 13, 1965 JAMES MC GREGOR 811 - 68th Avenue N. E. Builder Address SAME 3�1�y N? 8358 Fridley 32, Minnesota LOCATION OF BUILDING No. 811 Street 68th Avenue N. E. ____ part of Lot Lot 17 _ Block 2 Addition or Sub -Division Brookyiew Terrace, 1st Addn. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: D. Garage Front 22 Depth 22 Height 1Q, Sq Ft. 484 Cu. Ft. 4,840 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 1 p 45 2 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 ail ons of ordinances of the city of Fridley. In consideration of the payment of a fee of $-5-- 00 permit is hereby granted to JAMES MCGREGOR the to construct the building or addition as described above. This permit is granted upon express condition that the person to whom it is granted and hie agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, constructCon, 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 ordinances. ALLEN G. JENSEN NOTIM " perms! don not serer the eondmc ton, hutaMen for whin& phnnbbt& an hw&& sewer w water. Be sun to am the BWM[ng Impnter for separate pwmhs for thea Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,_ MINNESOTA LOCATION OF BUILDING NO. STREET � �U p PART OF LOT LOT BLOCK -2 ADDITION OR SUBDIVISION CORNER OT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION 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; � oZ�i rout ��-Z Depth eight U Sq. Ft. Ft. d Front Depth �— Sq. Ft. Cu. Ft. Type of Construction 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 (Schedule of Fee Costs can be found on the Reverse Side). 0 'Ps SUBJECT RMI City of Fridley 18867 AT THE TOP OF THE TWINS BUILDING PERMIT _ ___ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � PROTECTIVE CITY HALL FRIDLEY 55432 '•� NUMBER REV. DATE PAGE OF APPROVED BY .__.11.' 612-571-3450 910-F15 4/8/87 JOB ADDRESS 811 - 68th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR, 17 2 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Poland Lutz 811 -- 68th Avenue N.E. 571-8803 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AMRE 3700 Annapolis Lane, Plymouth 55441 553-0020 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION{] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit & Fascia (Reside) 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $4,650 $2.33 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- $50.50 ST UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $52.83 SIG NATURE OFC NT CTOR OR AUTHORIZED AGENT (DATEI - EN PROP RL ID E HIS IS YOUR PERMIT gqAl LDG )NSP qAT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 'Ps NEW [ ] City of Fridley Effective 4/1/86 ADDN. f R-1 AND R-2 ALTER. [ Building Permit Application Construction Address: 8 l/ .6 8 CL y • D Legal Description: �R Owner Name &Address: U+— `as ( 3 Tel. # Contractor: PYA 9-'2�- Tel. # 5 S Address: , ')D C) 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: -q- Estimated Cost: $ Approx. Completion Date: r7 -,-f 5_-_12 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: - APPLICANT: dw Tel. # CITY USE ONLY Permit Fee $.� Fee Schedule on Reverse Side Plan Check $ v 25$ of Building Permit Fee State Surcharge $,�� $•50/$1,000 Valuation SAC Charge $ `^ $525 per SAC Unit Park Fee $ — Fee Determined by Engineering Sewer Main Charge $ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: S� 6 Fav oo LV SUBJECT PE City of Fridley 213�5?2,,) AT THE TOP OF THE TWINS ?-, BUILDING PERMIT 4. R O. : 1 i v COMMUNITY DEVELOPMENT DIV. � 1164 r PROTECTIVE INSPECTION SEC. S I i I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY It.... •� �'� 612-571-3450 910-F15 5/26/92 JOB ADDRESS 811 - 68th Avenue NE 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roland Lutz 811 68th, Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Age Concepts 10020 Olive St, Coon Rapids, MN 55433 754-7416 528 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 8 DESCRIBE WORK Reroof Dwelling (18 Squares) TearOff 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply w th.State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 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 $954 $• 50 WITH W ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES 40T IIRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI N OF AN V HER STATE OR L LAW REGULATING CON. $25.00 Fire SC $.95 STRUCTI OR TH FORMA,p;CE F TRU C ON. L PLAN CHECK FEE TOTALFEE License SC $5.00 $31.45 SIGNATURE OF CONTRACTOR OR AUTNORIZEDAGENT )OAT I HEN PROPERLY VALIDATED THIS IS YOUR PERMIT MATE BLD NSP oC4 SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI LV NEW [ ) Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 711- _Co P 54-� A/6 Legal Description: ' ���c/� / ,��OD /� �G✓ .� Owner Name & Address: leO 1,41 Tel. # Contractor: /V 01L)n MN LICENSE # OOOS� Fl Address: 1119 00 6)Z `6J�f �/ - . �UD--) �i i j S, Tel. # 7f 2/- % W,!2' Attach to this application, a Certificate of Survey of the iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: P— e /� O D'I- 2-t D U E L —Ig A 2 d W / g S 9, Corner Lot t. ] Inside Lot [ ] Ft. Yd Setback _ Type of Constivction: P, Approx. Completion Date: a QZ % C� Side Yard Setbacks Estimated Cost: $���� '?,5Y 90 (Cost on Back) Driveway, Curb Cut Width Needed: Ft. b Ft = Ft x $ _ $ DATE: S lv APPLICANT: Tel. # f -- el - 7 v1 0� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) 01 SUBJECT P O:'-•, City of Fridley 25383 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ' • _ v COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. _ 413 r NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/18/97 JOB ADDRESS 811 68 Avenue NE 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 2 I Brookview Terrace SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lutz 811 68 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Christians Inc 1480 Park Rd, Chanhassen MN 55317 470-2001 3712 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair carport awning 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 MOT. 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 $1,600 $.80 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 OCA LAW REGULATING CON- $51.25 re SC $1.60 T UCTIO R HE PERFORMANCE F CONSTRUCTION. PLAN CHECK FEE T TAL FEE la Licen SC w$1- 00 $58.65 SIGNATURE OF CONT RA AUTHORIZED AGENT IDATEI VA THIS IS YOUR PERMIT fAT•ED VVV DATE 44P SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 01 NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 P 44°0�5-3 BUILDING PERMIT APPLICATION ConstructionAddress: "I I r, P1 1 t I. Legal Description: �- 67- f -z LD /L Z /3R-coiC y, e yY 7-C/c1Z A e Owner Name & Address: In /Z L v T Z Tel. # Contractor: /?, 37-/,g,, S MN LICENSE # 7/ Z Address,: %yp\ 14 AA_,, ,4 ��i✓ j aj 1-.S- 3i 7 Tel. # Attach to this application, a Certificate of Survey of the Y 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 HQ -t -/Ground Sq. Ft. OTHER: Construction Type: P,J 06 (E,2A /11 &T- Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft.x $ _ $ DATE: — Le APPLICANT: Tel. # 470 Q2 00/ Permit Fee Fire Surcharge $ , (QC) 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 $950 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 [ ] To 30Vd m 7- lr\ ONI SNVIiSIdHO 30Ud snoin36cd W06J 3nN11NO3 16 0 jo Q, 10- To 30Vd m 7- lr\ ONI SNVIiSIdHO 30Ud snoin36cd W06J 3nN11NO3 16 0 jo Q, bZa�gLbZT9 ET ;9T L66T/TT/80 ix bZa�gLbZT9 ET ;9T L66T/TT/80 'a"4 �- + - 1�.:, � �i�. .2..lyi e,•f,,?�yyprr}'s p :Ai rC&4y��yY• �'44 �.�,�c a,•�,•. Land Plonnin9 -170Missasipw1StNE '3 - Lond Surveying MinrneoPo�s 2l, Soils Teshny -ENGINEERING,. INC. Mrnnesofa Civil 6 Municipal SUn014-6066' Enjmeerin9 En9 ineers Sur vectors certificate of surve nor:_ ��LEM JVSON SONS 7/51 •7 -- I ' ��•A�A�,� i A ti Vii'7` 1� ,_•E` a i ;`tip'7_ti"�' TERRA, E t 411,fNOE 1Y R l h&vby urh y lhaf this rs a hw and correct represen>'afian Ora survey 9(' bamdor;es q'& abox- okscried land, end oF'ffx location ol'oll bw/dm9s , thereon, arxf oll ri5i6/e ewarachmenfs , !cony, fnrn or ori said /and. As surveyed by me flus-_ deq ? roe e r A•o 11� SUB UP8AN ENGINEERING, INC. C-ngineers E Sujr-reyors 4 6 SUBJECT _, City of Fridley 6 5 5 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 4o A.) r 1 NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910415 7-9-98 JOB ADDRESS 811 68th Ayenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roland & Violet Lutz 571-8803 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Great Northern Resources Inc, 1942 Ulysses St NE, MPLS 55418 571-8803 20117027 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 Uy Kes 1(llential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 1Y REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof house (16 Sq) - Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Codes. 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 I ] 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 $1334 $.67 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- STRUCTIni ORT E PER $45.75 Fire SC $1.33 R?M!:NC:EWCJ0NSTRUCTION.r s PLAN CHECK FEE Licens $5.00/52.75 TOT FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N OP VALIDA THIS IS UR PERtt BLD )NSP MATE SIGNATURE OF OWNER)IF OWNER BUILDER) IDATEI JUL-06-1998 15;24 FROM CITY OF FRIDLEY TO ADDN [ ] CITY OF FRWIXY ALTER j ] SWGLE FAMMY -AND DU nSW R-1 AND R-2 BUILDING PERMIT APPLICATION ConstnutionAddress: Legal Description: Owner Name & Address: Contractor: KT. r. rZ 71 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: t_ ) 7888864 F.01/02 Tel. #. f--l�-; N LICENSE # -Z S Tel. # 2 / �7 Attach to this app1i6ation, a Certificate of Survey of the /&/%) lot, with the proposed construction drawn on it to scale. /yy L� ,.: DESCRIMON OF D"ROVEMENT 7 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: S `- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ I /� • �► i�� Il _ IN TOTAL $ 7-% STIPULATIONS: CITY 175E i]►NLY Permit Fee $ �S Fee Schedule on Reverse Side Fire Surcharge $ 1,33 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$3,000 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 $ 7-% STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. aa 6431 University Ave NE Fridley, MN 55432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2001 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS F�4 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $®d°S� 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. V1, , 20C Owner Building Used Estimated Cost PLUMBING COMPANY SIGNED BY Approved By M PERMIT NO. Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CCiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Ms. Ann Betts 81168 Avenue NE Fridley, MN 55432 Re: Final Inspection at 81168 Avenue NE Contractor: Shiloah Water Co Dear Ms. Betts: A plumbing permit was issued on May 18, 2001 to install a water softener at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing 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 Plumbing 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. DAVE JENSEN Building Inspeco DJ/mh Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 DATE `Ta �II �. YOUR E-MAIL ADDRESS SITE ADDRESS 1 b Mc— THIS c - Permit No.: Received By: Date Rec'd: THIS APPLICANT IS: -0 OWNER ❑CONTRACTOR Plan Review $ PROPERTY OWNER/ NAME: + 5 ! 111. Yy\ � \ t 'pkv-, $ ADDRESS:_Sr, !p to V L , - i 3L -- CITY � r � 4 '9-v STATE M N ZIP 6541"l— TENANT Curb Cut Escrow PHONE: ` 1 % 'tj - 50 '1. - PHONE: ) � h J $ Park Fee NAME: Sewer Main Charge $ ADDRESS: $ CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE IKSINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 0,ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR glEMODELING DESCRIBE WORK BEING DONE: o S -S ©\ i G -w !- -pp o Qr� �� Zip , ���� act. w f G -.b\- K0 �" ni�s�- i1r n Inn�1l IC11lCwlT 'A VL\ I CAIf—ru _/ 11 %vinTu WIZIM-IT C(i FT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS M EXISTING OPENINGS ❑Yes [No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & Q TYPE OF WINDOW TO BE INSTALLED �F ❑ HOUSE ONLY ❑ HOUSE & GARAGE h ❑ ATTACHED GARAGE RDETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION S /.-q 06.0 0 OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ 07 i _ Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) -ft +6 ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) 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 code 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 permit on site; that the work will be in accordance oved plan in the case of all work which requires review and ap roval of plans. SIGNATURE OF NT PRINT NAME _DATE 10 APPROVED BY DAf O UiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, ��0 M, 1i ug_ , understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at 8t1 ^'(4E50n PN6 k)E, Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. NMI Date -1 iun Store: 3018 `�., Date: 2008-05-26 12:23:23 1 �'tiS'61r�+t1'�1'� Guest Name: g Center Guest Phone: Team Member: ESTIMATE #: 20966 Tress Type: Common Sku: 1871267 Span: 221011 Pitch: 4/12 Bottom Pitch: N/A Heel Height: 3" 15/16 Left Overhang: 21011 Right Overhang: 21 011 Left Cantilever N/A Right Cantilevers N/A Bearing Wall Size: N/A Loading: 42-10-0-10 Price Each: $32.99 Quantity: X10 Total Price: $329.90 ***By purchasing today, you save $35.00*** Truss Type: End Truss Sku: 1871283 Span- 221011 P itch 4/12 Bottom Pitch: N/A ""`" '< Heel IH l 9 ht: 3n 15 /16 ................. Left Overhang: 21 011 Price Each: $36.49 Right Overhang: 21 011 Quantity: X 2 y Left Cantilever: N/A Total rice: I Right Cantilever: N/A $72.98' Bearing Wall Size: NIA roV `� Loading: A i OR Total Truss Price: $402.88 Gommen Take this 11 A erlal a to order. -Tro -Truss Pict n Loading val re ' St I ontact your local building inspector to verify your code req uirements. this is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions. The prices stated on this estitnate are not firm for anytime period unless specifically written otherwise on this form. The availability of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBILE FOR ANY LOSS INCURRED BY THE GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS STATED HEREIN. All information on this form, other than price, has boen provided by guest and Menards is not responsible for any errors in the informaton on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST, BECAUSE OF v'VIDE VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET YOUR CODE REQUIREMENTS: Building MECHANICAL Permit No.: Ce Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY va 763-502-4977 FAX I EFFECTIVE 2-19-09 1 k - 10 - OoT YOUR E-MAIL ADDRESS WiKz® 1) wu e �" n �v► DATE SITE ADDRESS THIS APPLICANT IS: 0 OWNER HCONTRACTOR PROPERTY NAME: �osl Akl o�w_ /�00 ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: a o-vt CONTACT PERSON: M'AZ' { A h SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: k71-60 t0hG or` PL j� CITY L NC.� STATE ��ZIP �s­a�� APPLICATION A �- - Z66 -o a-1 0 FAX 71 J -3 ya -y0" 7 PHONE *" LE FAMILY 0 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE 0 NEW PLACEMENT 0 ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK %FEES AERE BASED ON $10.-00 'PER FIXTURE,EXCEPT WHEREACTED - FIXTURES:'(INDICATE:TOTAL'NUMBERO#F *WIWI DW) : . _PROVIDEHEAT- LOSS CALCIS PER MANUA J2006AHRAEHANDBOOK. Equipment Installed MFG: 0.h ./ MODEL: 7 SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10:00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $1080 ..- '. _AIR _LACE BOILER $35.00 ACE $35.00 _GAS UNIT HTR $10.00 . _ CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 ..- _ 8 :' `. � � 5 Y � � � S o- �,� +,Y ✓r? f - �f ,H, 1' k Q+� # - T' ':L yti.. • .! iR �'S-3� 44 3 -- �d "WW t 3 ' 4b� � t t `s£a € �' t1 . nv a_i '�s' b f `. 3�T #tr' . .. he ,a'a 3.. `q�re";'".... �� �R3. �"CN ��k �' i!".'.� ,n 2 �£... s+. YS%��.i.Yvv'i':'!:vfn i�3 4} A}uA �S✓3� +.�}.. .� �. ,�'�AC-J... ,� 3 �� � � � !' � •�' ,� � �.3 � Y � +�Y, 4S M: F � � � � � ��,y,�, ' £3'i{. qy {6 � �Y 3 9 � � � Z�C � �.� ^t"3 Y � - •. �t F3 z` 1 .!�`a' 2 vn it vY'� 'S rS ,.�y _ �"� � 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 ork whic quires revie d approval of plR4 r SIGNATURE OF APPLIC ',/? PRINT NAME �% -DATE­ APPROVAL INSPECTORS SIGNATURE DATE APPROVAL WNW ,, ,n, s_., "�. 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 ❑ EXISTING 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 MN Rule 1346 Sec. 501 _ 3. Venting a. Gas, appliances IFGC , Chapter 5 with MN Amendments b. Fuel othex than gas IMC Chapter 8 with MN,Amennents 4. Heat loss & cooling load per room . a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 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.