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PRE 2010 DOCSfq1;, ° � Permit No. Q, t Y f F crl e AT TPIE TOP ®P TMF TWINS PLUMEI'uG PERMIT APPLICATION r✓ tu-------CONNVNITY DEVEI. MENT DIV, PROTECTIVQ [ g—$v ,t TIOM MPT. CITY HALL FRIDL;V D. -D$ _ Rav' COTE PARE W ®v j 61766Q-341® 910- 0 2 15 '73 1 •1 EROVE0 800 Job Address a 60 d1` D u - Owner, CEJ A- 1 � y Tess Phone 13 q-" c- � a f�-s' Cont actorA r� Phone Kind of Building use Comp etion Date _—E—sLiivated Cost Plumbing Fixture Rates: NO. RATE TOTAL W W Number Fixtures —S x $2.00$ D 0 O i Future Fixtures x $1.50 SO New Fixrure-Old Open. x $1.50 �flstlfll i � �_ !_ •� J Catch Basin x $3.25 G svo Water Heater -99,000 BTU x $3.00 03 U O •�soW Ground Run Old Bldg. g. x $3.25 •saa�� i •MNiva ll j Elec. Water Heater x $2.00 m SNISV9 k Hflltl7 ! I ! I G �+ I Gas Fitting Fees :P4— ;O SNltlaa ! I o aoonzi 1st 3 Fixtures / x 2.00 U U $ v .00 I SH31AOHSl 41 Additional Fixtures x $ .75 � ,01 ;O tNnoai U a NNtaa I I I Gas Range -199,000 BTU x $5.00 RRepa s &Alterations A "SVM! ! ! I O See f s"NS I_ I Description; Code State Surcharge .50 SNISV9 ` -�I I I Co - TOTAL FEE $ X0.00 son d I �I Hsvn I I The undersigned eby makes application for a permit ! "tlNianl I I I for the work,. -her n specified, agreeing to do all work in strict -a:cco ante with the City Ordinances and Tulin; 9135oio j a81VM '� �1 { I Cg of the. Y6pa ment of Bui gs, and hereby declare that all the f is and repres tations stated in this app" ica on are tM. 6 a correct. LO r. I UJ GQ v -N+ C1 M v -Signat •e - r Date ° s1W PI SUBJECT City of Fridley jP po. ® AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT • COMMUNITY DEVELOPMENT DIV. �y- ------� PROTECTIVE INSPECTION r � SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER I REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 10/18/7 JOB ADDRES1 20 68th Avenue N.E. 1 LEGAL LOT NO. BLOCK 1 1 TRACT OR ADDITION SEE ATTACHED Michael Servetus Addition DESCR. SHEET '-i-PROPERTY OWNER MAIL ADDRESS ZIP PHONE Andrew PERCIC 1050 68th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. W. F. Bauer Construction Co. 1655 Stanbridge 633-3967 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING House & Attached Garage 7 CLASS OF WORK J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK House split entry 40' x 26' attached garage 20' x 24' 9 CHANGE OF USE FROM TO STIPULATIONS 1. Builder to dig at least 2 test holes 4 feet below the bottom of the footings near West end of basement. 2. Provide a verification survey. 3. Provide a hard surface drive. SEPERATE PERMITS REQUIRED FOR WIRING,, HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood fr e 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 1040 20,480 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAR 'HEREBY CERTIFY THAT I 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 19, 795.60 9.90 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- $47.00 275.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 31.9 ATUREOFCO GS ORA OR ED AGENT IDATE WHEN P PE Y DA THIS MI G WTUWbP10WNER (f OWN DER) (DATE) D T s1W PI Land Flannrnq /� ,,� �� � ✓ �� rR➢S� flrQdrrloc/ eGS bac 'lvnd Surwa�rnc1 �-' 169r�rr��!�� 3? sells Tronrq N GNEE R I N Ge i c. IfllYXsc9a f rvr! & Adunn> ja ? R/aw ` N 6:066 rnyffWert Fn9incer ,s Sur ori yof•s n 7 sow r T-AAV�. 75-oo I 13 ON Lr- 1 4 � 11 1 l0 N. /l%kj c hry lhoi *o o live and coirrct rel�resenfofian 00 swvey #0* bwnd®rs �'Am #bare d'�ibed ✓m�d,end #1h /moo! eaff tw1d�t , preen, aedo✓✓ n5lb/e e�nro®chmenls , Many, frmrn or erg s�;a� /and As surveyed l m2 hers _ a&►vt� a.v1.9 d SU13UP'BAN IWG/NEERING, INC. It, mccr_S Survervor-9 e i Main Office 784-6066 BBVRBAN 6875 Highway No. 65 N. E. NQINEERIN® Minneapolis, Minnesota 55432 — INC. i-` South Office 890-6510 Q �tJ Civil & Municipal Engineering • Soil Testing 151 West Burnsville Crosstown Land Surveying • Land Planning 11 Burnsville, Minnesota 55337 Li October 25, 1973 Building Inspection City of Fridley Fridley City Hall 6431 University Avenue, N.E. Fridley, Minnesota 55432 Attention: Darrel Clark Dear Mr. Clark: Re: Lot 1, Block 1 Michael Servetus Addition At the request of Mr. Pete Percic, we made density tests on the backfill of the above lot. The density tests on a modified proctor basis indicated adequate compaction was utilized. The results were as follows: LOCATION DEPTH BELOW FOOTING DENSITY ELEVATION Approximate center of west wall of building 1' 88.0% Approximate center of building 1' 91.0% On the basis of the foregoing random sampling even though one density test does not meet the specified minimum density of 90%, the subfooting backfill was observed to be uniformly and satisfactorily compacted and no detrimental settlement should be expected. Sincerely, SUBURBAN ENGINEERING, INC. garltt/�.Len/the/,I!T� C CLL/rp CC: Mr. Pete Percic Robert Minder, Reg. Engr. E. A. Rathbun, Reg. Surv. Wm. K. Meyer, Reg. Engr. Wm. E. Jensen, Reg. Engr. John F. Duryer, Reg. Surv. ALI zation *w FewO Flwa mW H W ngf m1 Air CmAMicning S PARTIAL RATE, SCFE®ULE Wit. of Blfla.. �.,. GRAVITY WARM ALR: RATE TOTAL YamMe` ✓ ® "Y© =- ��� C - Furnace Shell d: Duct Work - $10.00 f; Replac-en►eet of Furnace 6.00 � of Fridley fCity i Repairs ar Alterations=np_ to ;500.00 -_ 600 3w - The- undersigned hereby nukes application for a--permitfor the wort[ hereat _ , -: __ specified, agreeing to do all work in strict accordance with :the City Ordbmwe: Repairs & Alterations each add. $500.003 5—:-- _ and ruling of the Department of Buildings. and hereby decLrea that all the facts and reyr+•sentatiuns statrd.:n this application are true and correct. '. MECIL WARM AR31 Fridley. Mian- - _ Furnace Shell k Duct Work to 190,000,BTU ..$1000 "4L_ eaeb add. 60,000 VIV 3.uu 1 - 1'lwner [eo 6 Replacement ; of Furnace 6.00 } K)nd of Building- ��� •�? - - r� Repairs do Alterations---up to 5500.00 6.00 IL - Repairs A Alterations each add. =500.00 3.00 :_ __ -"' used 0,q STEAM o: HOT WATER SYSTEM To he completed about a _ Furnace Shell & [amines-to 400 sq. ft. KDR Steam S10.00 s___ .: Estii»ateri rcwt, $ --- % • o ' c� Furnace Shell & line-to 640 sq. _ft. EDR Hot Water 1.0.00 3- -. - --- -- • � `Each add 10.0 sq. tt LDR Stearn 1(1(t # Uld-New', Bwldurg Permit No. Permit No.. f Each add. 320 sq. ft. EDR Hot Water 3.00 D IOIf or Wanz OIL BURNER- to 3 gal. per hour 6.00"- { 1. over 3 gal per hour-See Fee Schedule HEATING or POWER PLA1VIS- 5teatn, Not Water Warm Air-No " ' GAS BURNER ]up to 198,000 RTU) 5.00 = _S__,y Trade ]varve -- � Sias No war 189.000 BTU Sm Fee Schedule FITTING FEES; ; tpactty - Sq. FDRC1S BN /vsgr - 1st 3 natures _� -- _- x$ 200 5- + .:.._ Total rennected Load_ Kind of P1iet - _ Additional Filrtures �_: _ ■ 76 f Gas Range to 199.000- BURNER - Trade Nam Stze Ns –�t$tflT�1111.1' 18i E --- •– --= `._ Da � _� .SiQ�ti�fi:Ii=--_T- BTU—_' -- — rump. ' t. -- — VAN MATING SYSIN= $M` Poo schedule VENTILJA,TI110 STS ZM 5 _ALTERATIONS t REPAIRS TOTAL FZS i_ 4�- >- - BJ _ ROIItiH B� m o sour 777 g /�, rx •. 1RiMA1DIt-OVtRI_ ..w-...-�..,,..—'--a+�-tea==--=- - - -k 560-3450 . City 6431 UNIVERSITY AVENUE NE W. F. Bauer Construction Company 1655 Stanbridge Avenue Roseville, Minnesota 551.13 ANOKA COUNTY March 25, 1974 FRIDLEY, MINNESOTA 55421 Ret Verification Survey Dear Sirs: According to our records, your home being built at 1020 -68th Avenue N.E. on Lot 1 . Block 1 ., Michael Servetus Addn.-has not been resurveyed since your foundation was completed. If you.have a copy of: this required survey in your file, will you please forward a copy to us. If you have not yet had the survey made, please let this be a reminder to you that these verification surveys are a City requirement and that they are -essential to meeting the City Code. We hope that this matter can be taken care of within the next 15 days so that more drastic steps will not have to be taken to gain compliance. - If you have any questions, please feel free to call me. Sincerely, '-& EL G. CLARK Community Development Adm. DGC/mh SUBJECT P _ _ City of Fridley 33801 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. RqPjI NO r PROTECTIVE 1 NUMBERREv DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910-F15 8/14/03 JOB ADDRESS 1020 68 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Michael Servetus Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Angela Stare 1020 68 Avenue NE 763-571-1933 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 313 Jefferson Hwy, Champlin, MN 55316 763-427-9696 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION] REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 80 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 1 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 $1.56 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,126 DOES NOT PRES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVI IONS ANY OTHER STATE OR LOCA LAW REGULATING CON• Fire SC $3.13 STRUC OR HE E FOR NCE OF C UCTION $97.25 �3 PLAN CHECK FEE TOTALFEE / Lens SC $5.00 1 $106.94 SIGNATUR OF CONTRACTOR THORIZEDADEN IDATEI M N PROPERLY VALIDATED THIS I R P M T �. I 9L .NSR - gATE S,GNATURE OF OWNER,1F OWNER BUILDERI IDATEI NEW I ] CITY OF FRIDLEY Effective 1/1/2003 ADON () 6431 University Ave NE, Fridley, MN 55432 (763) 5722604 Bldg Insp ALTS (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714297 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name 8 Address: e Tel. # "3 S7/ 1933 Contractor: Pa w -A Ronfi g & Siding MN LICENSE # 2e®/ ®-�77 Address: 313 Jefferson Hwy. CT i amp n, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to sole. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA- Length dllidth Height Sq. Ft. DECK AREA: Length Width Hgt/Ground SQ. Ft. OTHER: 0'7 s Construction Type: ed r �� �"e r®a Estimated Cost $J)Ie ®. — 34267 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I i APPLICANT: Tei. # ?& Call (763) 572-3604 for Permit Fees N mailing in appilcation. Fax to 7634714287 If using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge s .C2-c�,- s_IT TOTAL $ !(c0 CITY USE ONLY- Permit NLY- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ j Building, PLUMBING PermitNo.- 00 - b5 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da� ' 'c :� P R 8 200 DATE `L 6 YOUR E-MAIL ADDRESS SITE ADDR6S Same- THISAPPLICANT IS: Goyko Stare PROPERTY 1020 68th Avenue Northeast OWNER/ Fridley, MN 55432 CITY STATE ZIP TENANT 7635869601 CONTRACTOR ,v,,,•.- SUBMIT A COPY OF STATE LICENSE # C% EXP DATE YOUR STATE ADDRESS. 2!?—Or 6wwliel4lCITY �Y%sr�ea �S STATELIP S�SY�i LICENSE WITH . PHONE % — �/0 3 FAX — 112, APPLICATION - PERMIT TYPE KSIN GLE FAMILY ❑ TWO FAMILY b TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK % PER MS 16B.665 the permit fee is a minimum of $15.00 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 = =-RDP-PROJECTS WHERE LABOR EXCEEDS-i00,TEES ARE BASED ON $10.00 PER FIXTURE; EXGE •PTs IERENOfiEHh:RI3CT�i£6: (INDICATE TOT 'L ' NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING ^_ _ GAS PIPING (NaD �s�t�c. m) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION _DISHWASHER _ WATER METER _ OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $140 = $ Number of fixtures @ $35.00 _ — x $35.00 = $ 36'.00 a TOTAL DUE $ State Surcharge = $ .50 Total = $ O 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 anp 'cation 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 cas of o which re review and approval of plan§ SIGNATURE OFAPPLIC J: PRINTNAME & t 44i/ONV1 DATE _ City of Fridley - Building Inspections Department 643.1 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977