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PRE 2010 DOCSt -k v /%/ City of Fridl®y Ria a rrk= an t&= pw=_ Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WORK Im�nn V Number, Kind and Location of Fixtures p O< � Z ,; $ G" QZ = 5� O V W i e / e N WATER NTR. GAS ELM Base 1st 2nd I _ 3rd 4th • Future Connection Openings + New Fixture, Old Openings Connected with Sewer � CcUp001El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............. x $1.50 $-- New _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 $3.25 $ Electric Water Heater........... z $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 tj Additional Fixtures ................ x $ .76 $ Gas Range to 199,000 BTU ... ,.......... x $5.00 $ REPAIRS # ALTERATIONS—Refer to Code 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, ' I 19— Owner Kind of Building Used as To be completed about Estimated Cost, $ //.� G Old—New. Building Permit No. Permit No. 4� 1 Signed By Business Phune No ROUGH FINAL Description ............. , ..........................• ..... ; - TOTAL FEE City ®f Fridley 4T THE TOP OF THE TWINS ------COMINNITY DEVIKLOPMENT DIV. i PROTECTIVE ViSPECTIQ4 99PT. ' r---1 l CITY 14ALL FRIDLEY SOON .J 614-660-3430. B��QGT Permit No. PLUMBING PERf9IT APPLICATION Job Address � v 1 c 4 1J I i.) A2.-7 I t 1 1 avv Z ! i e' D %3 n'Q er i I I O � Address Phone 0 r , Water Heater -99,000 BTU x $3.00 6 Q Plumbing Contractor Address P one i I Kind of Bu' dig Ground Run Old Bldg. x $3.25 •MN,va rn I Use I I: I Elect, Water Heater I x $2.00 Comp etion Date Estimated Cost ICi_ W1II 3I< a�Nva avol i ( I1I --_4 _ Plumbing Fixture Rates: NO. RATE TOTAL j! Number Fixtures (o x $2.00 Future Fixtures_ x .$1.50 •<,�j New Fixture -Old Open. x $1.50 I ! i •'dd`'� svfl i I I O � Catch, Basin x $3.25 , � x„ r , Water Heater -99,000 BTU x $3.00 6 Q 'o81N I I I i I I Ground Run Old Bldg. x $3.25 •MN,va rn I I I: I Elect, Water Heater I x $2.00 m 8NISY8I I % H�1V71 w I I w I Fitting Fees: [O wo BNIVLO it c "001A� I I I .to I a! +{ _Gas 1st 3 Fixtures x 2.00 I2• C9 $ ;w %. ,Q U I Sa3MOIISI �o.$ I I I I Additional Fixtures x $ p q •1Nnodl .75 ►p�7," a b I Gas Range -199,000 BTU x $5.00 slval Lj I I I I Repairs &- Alterations See Description: Code ONIBYY I ��j� I State Surcharge .50 sam i I TOTAL 'FEE $�? 00 Nlvel I J I i B !The undersigned hereby makes application for a permit lnv"Iaol I I I I for the work herein specified, agreeing to do all work 9120013 I ( in strict accordance with the City Ordinances and ruling tlalYMl I I of the Department of Buildings, and hereby declare that all'the facts and representations stated in this d application are true and correct. YJ W ►r N :'i '� ignature ate 0 SUBJECT City of Fridley74 q25 F AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITYi DEVELOPMENT DIV. -9 r PROTECTIVE INSPECTION SEC. // l0 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/4/74 JOB ADDRESS 1000 - 68th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I 3 f Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Nash 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Amber Construction 6070 Stinson Boulevard, M ls. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 30' Dwelling and a 22' x 22' GArage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. SEWER LOCATION (NO WYE) : 12" ASB bonded CMP 15' South of the north line of 68th Avenue WATER LOCATION: 6" CIP 20' South of the north line of 68th Avenue(MUST BE TAPPED) SEPERATE PERMITS REQUIRE$ FOR VIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1176 23,270 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $23,739 11.87 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.- STRUCTIPA OR THE PERFORMANC F C0f4ATRUCTION. S44.00 PLAN CHECK FEE TOTALFEE AV" - S $355.87 S TURE FCO RACTOR OR AUTHORIZED AGE IDATEI r. � HEN PROPER V THIS IS � � R IT ErLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) I 0 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Ate. `1 � BUILDER: .. ADDRESS: ADDRESS: ) L)'4 'Alz NO:.� STREET: LOT: BLOCK: ADDITION: CORNER LOT:, INSIDE LOT: Z�— SETBACK: 3 �— SIDEYARD: • e 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: Front: , 3 6 Depth: ® Height: d Square Feet: //0_6 Cubic Feet: Front: 2 Depth: Height: c 3� Square Feet; `M V, Cubic Feet: ?j �� L) J -�' Type of Construction: F Estimated Cost: �0 /t,, - To Be Completed: � `7 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: SIGNATURE: -Gr` _�� , zz' ") .(See Reverse Side For Additional Information.) / I -1-)-� 1- � SUBJECT PERMIT City of Fridley j12700 AT THE TOP OF THE TWINS BUILDING P E R M I T • T NO. REPO�6 L1. ------ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ; 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/4/74 JOB ADDRESS 1000 - 68th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 ,i Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Nash 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Amber Construction 6070 Stinson Boulevard, Fridley 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 9 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reconstruct dwelling and garage after fire 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. SEWER LOCATION (NO WYE): 12" ASB bonded CMP 151 South of the north line of 68th Avenue WATER LOCATION: 6" CIP 201 South of the north line of 68th Avenue (MUST BE TAPPED) Fee charged is h of original permit fee, k of original surcharge, and 31 of original valuation. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1176 23, 270 Total 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 $11,869 5.93 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $22.00 PAID ON #12,574 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $27.93 SIGN URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPERLY VALIDAT PERMIT )IZSYOUR r SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG )NSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : 0 Yy) . &6,a J BUILDER: a/rn Wuu 0-t 7 (,Q ADDRESS • ADDRES S • � 0 'i ( &Y1) C� NO:. /000 STREET: Q -L a > LOT: & BLOCK: ADDITION: Y)l Le 11 CLIJ �� h0 3Ato CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: "C,(A-O- Fron't:� ,3 d Height: /a �C� Depth: Square Feet: / / �% 4o Cubic Feet: / 8, J43fo Front : a� Depth : �a Height : Square Feet; q(q.q Cubic Feet: k Type of Construction: C1 )00d -,"an(affKk_ Estimated Cost: $ / I , (9 09 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: SIGNATURE: (See Reverse Side For Additional Information.) p0 a ,:r . 9a'j,...;. �.•.m.v "�'/...-.n� ^-r�$. `� r��"�?•-7� ,p�,,.m,r't%»�,s� �fl r°�, ;.4.�, ,pr•.t^, r,_„' ..L° ..3 '.`m:._d b U a�a..Vi+J4$1:r3 f ✓�o�yL�.:w v _. e.S:.:s�u .:::s. �e.�+u:. .. �.,��u.�.....� '�i/v....._��....r:.w:i�Er�mG.- �.D�:m�.v.. rn ft'iL"" V/"WYr1iJ�:1 l:WL •` Oi'�..i �✓�vV L'i% �saZI D\rbo�^J'wy% aaa��� euYr PARTIAL RATE SCHEDULE rORAVI T Y 'r-1JL M ArA.- m `TLr`itAl.• PuuriEce Shell & 1Izsc2 Worn . , ... .. $10.00 It Replacement of Furnace 6.00 $ Repairs & Alterations --up to $500.00 6.00 $ 'Repairs & Alterations each add. 5500.00 300 $ FlMCIIL WA=1 PM- rurnace Shell & Duct Work to 120,000 BTU .. ..$10 00 b e=h add..60,WD BTU . .........3.W Z Replacement of Furnace 6.00 $ ,Repairs & Alterations—up to $500.00 6.00 e IL—Airs & Alterations each add. $300.00 3.00 � STEAM or HOT WATER SYSTE-12 Fu:rrace Shell & Lines—to 400 sq. ft.'FMR Steam $10.00 $ Furnace Shell & Line- -to 640 sq. ft. EDR Hot Water 10.00 $, Each add 200 sq. ft. EI)R Steam 3.1M1 $ 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 tree Schedule GAS 3U."NER (up to =-,(Y'A BTU) 5.00 3 Olt? ls% 1 = Soo F60 Schodule GAS FI=UG FEE3. 140 RATE TOTAL. Ist 3 fixtures xg ZOO g . O U Additional Fixtures x •75 Gas Range to 1£,i= A I I t GC:..3ZTI c31i:0 AL State Surcharge .50 21-4 Tea act a�,..Jiy i#i5 TOT FU21 $ S ® City of Pridley: The undersigned hereby makes application for a permit for the wor'3 herer• specified. agreeing to do all work in strict accordance with the City Ordi:eancer and ruling of the Department of Buildings, and hereby declzrez that an the fa ---- and representations stated in this application are true and correct. Fridley, Minn— Owner inn Owner 7// Kind of Building Used as To he completed al!t. Estimated Cost, $�- Old—New. Building Permit No. _ __ permit ldo. a HZAT'ING or PpWER PT kN75--.5teasa, Hot Water, Warm Air—No Trade Name `^ -u - SL___ LTO -Capacity—_— _ Sq. F°t, E.D.R B_f U mp. Total Connected L=d Vfm of V�ml BURNED — Mrade Name- Size NO Capacity Sal. YL E D H LTU SUBJECT City of Fridley 29850 AT THE TOP OF THE TWINS BUILDING PERMIT O 16. COMMUNITY DEVELOPMENT DIV. I r PROTECTIVE INSPECTION SEC. ��� • NUMBER REV GATE PAGE OF APPROVED BY i CITY HALL FRIOLEY 35132 ' 612-571-3450 91O415 7/9/99 JOB ADDRESS 1000 68th AVenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 M1 C SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virginia NashS71-7347 3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO 14 n Ap12 V1ZIP55124 Amek Construction 131XRXRM 51-94 d 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 M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (19 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State# Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1661 , 83 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- S UCTION OR THE PEBFORMANCE OF CONSTRUCTION $60.10 Fire SC $1.66 PLAN CHECK FEE TOTALFEE icense SC $5.00 1$67.59 IGN OF CON TRA OA OR AUTHORIZED AGENT (DATE, W IOPERL VA DATED T IS IS YOUR PERMIT �%Q S-GNATURE OF OWNER IIF OWNER BUILDER, IDATEI SLOG IN MATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 Q BUILDING PERMIT APPLICATION n 1 Construction Address: t �� Legal Description: �-,��� —C) Y-2Tcr6 E Owner Name & Address: S Tel. # 7% '73` 7 Contractor: Address:#11A a� /GL�a�G8 MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. i � �k DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length 1 Width Hgt/Ground Sq. Ft. OTHER: r Construction Type: imv7C �-C� � Estimated Cost: $ `y Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ( APPLICANT: Tel. #��l� CITY USE ONLY Permit Fee $ �j0. Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 [ J Not Necessary [ ] TOTAL $ , S STIPULATIONS: