PRE 2010 DOCSt
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City of Fridl®y
Ria a rrk= an t&= pw=_
Dept. of Bldgs. Phone SM -3450
DESCRIPTION OF WORK Im�nn
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Number, Kind and Location of Fixtures
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WATER NTR.
GAS
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Base
1st
2nd
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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
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er
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Address
Phone
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Water Heater -99,000 BTU x $3.00 6 Q
Plumbing Contractor
Address
P one
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Kind of Bu' dig
Ground Run Old Bldg. x $3.25
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Use
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Elect, Water Heater
I x $2.00
Comp etion Date
Estimated Cost
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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
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Catch, Basin x $3.25 ,
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Water Heater -99,000 BTU x $3.00 6 Q
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Ground Run Old Bldg. x $3.25
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Elect, Water Heater
I x $2.00
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Fitting Fees:
[O wo BNIVLO
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+{
_Gas
1st 3 Fixtures x 2.00 I2• C9
$
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,Q U I Sa3MOIISI
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Additional Fixtures x $
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.75
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Gas Range -199,000 BTU x $5.00
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I Repairs &- Alterations
See
Description:
Code
ONIBYY
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I State Surcharge .50
sam
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I TOTAL 'FEE $�? 00
Nlvel
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!The undersigned hereby makes application for a permit
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for the work herein specified, agreeing to do all work
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in strict accordance with the City Ordinances and ruling
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of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
d
application are true and correct.
YJ
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ignature ate
0
SUBJECT
City of Fridley74
q25
F
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITYi DEVELOPMENT DIV.
-9
r PROTECTIVE INSPECTION SEC.
// l0
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/4/74
JOB ADDRESS 1000 - 68th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
I
3
f
Michael Servetus Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mr. Nash
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Amber Construction 6070 Stinson Boulevard, M ls.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 36' x 30' Dwelling and a 22' x 22' GArage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a verifying survey before capping. Provide a hard surface
driveway.
SEWER LOCATION (NO WYE) : 12" ASB bonded CMP 15' South of the north line of
68th Avenue
WATER LOCATION: 6" CIP 20' South of the north line of 68th Avenue(MUST BE TAPPED)
SEPERATE PERMITS REQUIRE$ 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
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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: