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PRE 2010 DOCSOCity oFridley, f FMinn. • BUILDING PERMIT xo Date: _.._...._ ........................... ...... ...........__..._.._-----_-----_-_------ Owner: Address 4385 Builder -......_....0 Address....................... -............ ............... -......................_......_......._......._......._......._.._... LOCATION OF BUILDING No. c;�'JP-0------. Street - �.. �� t-/` r ........................ Part of Lot ....................... -------••-----•-----/---- ---- n Lot ._.... :�_..................... Block .._..................... .......... Addition or Sub -Division 0-- Corner Lot .................................... Inside Lot .. -X. ................ ............ Setback=.................. Sideyard........._............._........... - Sewer Elevation .................... _............. ........ -.... ...................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: -............. Front Depth OqY'- 5 Height / -.. Sq. Ft. !® ._/ Cu. Ft. .,�1..... / ..... Front ...."T Depth ��?_..`.. V Height l®._�. Sq. Ft. �C--. —_ Cu. Ft. r Typeoof�tton .............................................--_ Est. Cost...-...._._....._.... --- _----------- To be Completed .................... ... .................... _........ Due to lack of Sewer Service in Rice Cheek Plaza North, the issuing of these permits are for the sole purpose of 1-bdel Home Purposes. The minims size of 18,000 square feet is not met on Lot Sizes when not served by Sanitary Sewer. These structures can only be sold after being served by Municipal Sewer System. 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 $.,;773�.......... ....., 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 ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 A Application for Power Punts and Heating, Coodng, Ventladon, Ref igerat on and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work ......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ........... each add. 60,000 BTU ...................... Replacement of Furnace ............................ Repairs & Alterations—up to $500.00 ................ Repairs & Alterations each add. $500.00 ............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. IDR 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 TOT L 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 FEE REMARKS: Dept. of Bldgs. Phone SII 4-7470 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, Minn_ JAN 2 8 t� 1909 y 195— Owner , 21- ' ice✓ , Kind of Building Used as To be completed about 195- 195— ./ / ov Estimated Cost, $ New. uilding Permit No. —� DESCRIPTION OF WORK HEATING�� 'ag. �""' "�'� ', krWarm Air—No- Trade Name o �a����✓�-✓� Size Ny�9�� Capacity Sq. Ft. E.D.R- � BTU - H.P. Total Connected Loa Kind of Fuel ------ BURNER. — Trade Name Size No,/ aL Capacity Sq. Ft. E.D R r'? BTU H.P. 1001 Xenia Aga. S. Minneapoh 16, PAhin. Sign i 1 POST IM -12-58 Business Phone No D•96 'r 9 drgA►A'e:� r a' rpt HEAT LOSS CALCULATIONS Weatherstrips A.S.H. .E. II Guide II Windows I -Doors Reference Out. % TTA�T...•.r.•w.. .... ...... TT,,... ndrarl►iC ATIM TO nMIM Windows and Doors—Crack4ge and Area 0-0— Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. yNo. y 9 Co,t BIu C.pef. Bt Infiltration Glass _. Coef. Btu Infiltration F;'.' Int. wall Ceiling Floor " RT_ Glass 7 01 7 Floor 0 76501 Exp. wall _ -110. Net exp. wall .6, Int. wall Ceiling v, 163 v0 /6 Floor Total Btu. 14v C"; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and width 1 No. 01 Dane t . E0� 4 1 y Windows and Doors—Crackage and Area 0-0— Width Height No. of Lineal ft. Area Noe of p -ne of pane lights of crack sq. ;. yNo. y 9 Co,t BIu C.pef. Bt Infiltration Glass _. Glass ' Exp. wall r_ Net exp. wall' Int. wall Int. wall Ceiling Floor 14 Ceiling �'�'x 7 01 7 Floor Total Btu. T '- Required sq. ft. E.D.R. or sq. itis. W.A. Leader area " Windows and Doors—Crackage and Area ! Width Height No. of Lineal ft. Area of Pape, Of pane lights of crack sq. ft. yNo. y 9 Co,t BIu Infiltration Glass Exp. wall Net exp. wall M Int. wall Ceiling Floor 14 SUBJECT PERM City of Fridley 14613 AT THE TOP OF THE TWINS BUILDING PERMITwt r REC COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. ®�� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 3/31/78 JOB ADDRESS 280 - 69th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Firnstahl 280 - 69th Avenue N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvements Inc. 4911 - 4th Street N.E. 560-4857 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 X REPAIR ❑ MOVE ❑ REMOVE ❑ X 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be $*fA second but not third roof. Install ridged galvanized valleys. 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 SQ. 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 '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 $750 $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE 3-3/--)1 $8.00 SIGNATURE OF CONTRACTOR OR AUTHO II GEN (DATE) HEN PROP LY VALIDATED THIS IS YOUR PERM T )NSP OA SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI--•BLDG CITY OF FRIDLEY APPLICATION FOR RESIDE=NTIAL BUILDING PENMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: � , BUILDER• • Address: - �j `% k -e yf Address: — L Tel. No . j— No. : Street: LOT: BLOCK: j_� ADDITIOPJ COMER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach to this form T`oo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $•� d To Be Completed: �o , �i l 7� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: 3 /�kl- SIGNATURE: Stipulations: SUBJECT City of Fridley 5 6 72� AT THE TOP OF THE TWINS BUILDING PERMIT f R COMMUNITY DEVELOPMENT DIV. r 1 L PROTECTIVE INSPECTION SEC.®� NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/13/9 JOB ADDRESS 280 - 69th AVenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Rice Creek Plaza North Additior§HEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Madsen 280 - 69th Avenue NE Fridley 55432 571-2118 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 9 Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION A ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Internal remodeling of first floor only 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 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 $4500.00 $2.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ?500.00 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $72.00 Fire SC - $4.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $78.75 NTRAC�,#UTHORIZ�E4A�DENT IDATEI WH P OP R V L AT D THIS IS YOUR PERMITom aATUOF �E� BLDG S DATE RE OF OWNER ))F ILDER) f NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTERM SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 'r2 s a? -A'�e' Legal Description: Owner Name & Address: Contractor: ��F Tel. # f71 -,W1? MN LICENSE # Address: oga7- 1/t-;;' Tel. # 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:iC/fi�G- 4Qu�� �- al< /-dt� Corner Lot [ ] Inside Lot [ J Ft. Yd Setback _ Type of Construction: G°'r e Q PIPA- - Approx. Completion Date: 7Z9 3 Driveway Curb Cut Width Needed: Ft. + b Ft = Side Yard Setbacks Estimated Cost: $ 4/0O at Oa (Cost on Back) Ft x $ = $ RV . O�,20 Permit Fee $ 72-00 Fire Surcharge $ State Surcharge $ 2-t a g� SAC Charge $ License Surcharge $ `--' Driveway Escrow $ ---� Park Fee $ `--� Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$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 [ ] 4 • CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR '`aeWtiii4. :ii4y:C•ii::ii •... � Urinal ower .. .� Wa h . ....Floor Tra t Drain . ..Au � iWasher o Gas '•' e Rang :Gas Water Heater Stories Stories Elec Basement Floor 1 Floor 2 Floor r 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE 19 JOB ADDRESS 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. 1993 Owner���/Q Building Used As Estimated Cost PERMIT NO. / ) O 8 PLUMBING COMPANY_ 14�OLA//1Ae SIGNE TEL N0. Approved By Rough—in Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $J6. 0 PLUS THE $.50 STATE SURCHARGE SUBJECT City of Fridley 23882 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? �-REC-EIPT -� NO. COMMUNITY DEVELOPMENT DIV. v r I PROTECTIVE INSPECTION SEC -1131,79 NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/15/95 JOB ADDRESS 280 69 Avenue NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 1 Rice creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Madsen 280 69 Avenue NE 571-2118 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 CX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 255 sq ft garage addition and a 23.5' x 10'3" Deck 9 CHANGE OF USE FROM TO STIPULATIONS No construction above grade until construction drawings are submitted and approved. See notations on plan. WARNING Bra#ore diggiRg call ibT all utility Imitions 454-0002 REQUIRED BY LAW SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 $4',518 @ $2.26 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- $99.75 Fire SC $4.52 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $106.53 SIG URE OF ONTRACTORORA iZEDAG NT IDATEj WHEN �Y VALIDATED THIS IS YOUR PERMIT �IPROP A OF O 1 ATE1 y LDG NSP DATE NEW [ ] Effective 8/1/95 ADDN 04 CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -2j ���� Building Permit Application Construction Address:`' elzJ`-ice _ Legal Description: t-, % 3 �, I aez� Owner Name & Address: ��% �� ad Tel. # Y /—/�c� Contractor: L F _ MN LICENSE # Address: �,��/ Tel. # 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 , J Width /3.a 3 Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. 15 (1172 OTHER:evi -_-i Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $G9� �� �1��i /,�� `o Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE:�1 fir APPLICANT: Tel. #—� t/) e fd� CITY USE ONLY II/ Permit Fee $ 5 Fire Surcharge $ -9/1 I !i State Surcharge $ ®?,� SAC Charge $ - License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contract Alt. "A" or Alt. "B" Above V'6t Agzlo &67', &J�VIAI'rj i As 'vA/' $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Ft - r - 7C,,4"7 .9 -v 16 A rod fi//1/ 6 1la�i�i9 v�CX>e �,F5 57Ao�- TA/ fiVrtW6- -'15 fka-P,- SUBJECT P City of Fridley ( 24112 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO./ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC 7 r jft7?- CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/25/96 JOB ADDRESS 280 69 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Madsen 280 69 Avenue NE 571-2118 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 B DESCRIBE WORK Reroof House (15 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $1,200 $.60 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $42.05 E C R OR AG )DATE) WHEN PROPER ALIDATED THIS IS YOUR PERMIT 'BLJIIEG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE) NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Buildiin�gc Permit Application ConstructionAddress:. 62 Legal Description: Owner Name & Address: 0 0 A41 /f Pg Tel. # f 71 Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF RUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgtt/Ground Sq. Ft. OTHER: lvo J'Pd l� ��� / l �E S�K Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: F. Ft = Ft x $ _ $ DATE: �� 70 APPLICANT: Tel. #� r' CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1.40 .001 of Permit Valuation (1/10(h%) State Surcharge $ e 6 $.50/$1,000 Valuation SAC Charge $ $900 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 $ STIPULATIONS: PURCHASE ORDER DATE DEPARTMENT �9� 5AO F 45774 PURCHASED BY THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE 1 ° SENT TO US t THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY SUPPLIER `/� _ ADDRESS J-2 CITY OF FRIDLEY PHONE N0. 6431 UNPI. AVE. N.E. FRIDLEY, MN 55432-4384 CONTACT 612-571-9450 PR/NTEDfNRECYCLEDPAPER. PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS.� e.7 30 - 6 DATE RECEIVED PAYMENT AUTHORIZED BY ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE UNIT PRICE AMOUNT FOLLOWING 6)r C/VC 1C 1S9y=&4 ®/- moo gm r a TOTAL THIS MENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. WHITE, VENDOR - YELLOW, PURCHASING - PINK, ACCOUNTING - GOLDEN ROD, DEPT. HD. City of Fridley SUBJECT � 24216 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. DEVELOPMENT DIV. COMMUNITY v PROTECTIVE INSPECTION SEC. r <3 1 � i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 5/29/96 JOB ADDRESS 280 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Madsen 280 69 Avenue NE 571-2118 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 Construct an 18' x 20' FOUNDATION ONLY for addition 9 CHANGE OF USE FROM TO STIPULATIONS Separate building permit is required for construction of addition. 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 $1.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,200 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- $74.75 Fire SC $2.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $78.05 GNAT T ,TO RIZED T,/fJATEI WHEN PAOP BL2C INSP LY®VVAALIDATED THIS IS YOUR PERMIT MATE SIGN URE OF OWNER i1F OWNER SUILDERi I A EI NEW C l Effective 3/1/96 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application cid ConstructionAddress: ®2k6l 6 -�Ve' Legal Description: Owner Name & Address: �� �%�� j Tel. # 57/ - 9/f d Contractor: S�Pz MN LICENSE# Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: X �d l Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ CAAeo o lJ (J Approx. Completion Date: Permit Fee Fire Surcharge 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 $900 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 [ ] (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: q ' _ APPLICANT: &G ff 11Wh 4 g�'�'�° Tel. # 57 � Permit Fee Fire Surcharge 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 $900 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 [ ] AA 5 F,41 6 X03. s 3 0 �I �1 oU� �Yop�p���� gXa �r A -T, 105 fkSfi, 1 SUBJECT 0. - City of Fridley 24908 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir • _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATERAGE OF APPROVED BY 612-571-3450 910-F15 3/20/97 / / JOB ADDRESS 280 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 3 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Madsen 280 69 Avenue NE 571-2118 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 a C1NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18'8" x 19'2" Addition to Dwelling Foundation permit issued 5/29/96 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARA"E PFRMIT5 REQUIRED FOR WIRiN%*21 1.-,, 1 it wle iLL)lABIM -410 SIGIa 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 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 $19 238 $9.62 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- W STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $316.11 IGNATURE OF CON'RACTOR OR AUTMORI T IOATEI N ROP VALI D THIS IS YOUR PERMIT 37,9e-77 BLD INSP DATE Si -TUBE OF OWNER,JF 004NEWBUILDERI IDATE 1 NEW [ ] F. " Effective 1/1/97 ADDN LA CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 62- Lo ( ioO?''P �J Legal Description: C �� %�°��0�/ Tel. #J���� Owner Name & Address: /�/ Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF UYIPROVEMMW LIVING AREA: L� S14 if Length' width/ 9,,A Height Sq. Ft. !� GARAGE AREA: Length Width Height . Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. OTHER:'Oue���77C�N rSS (/�c� -9� �o?�® � Construction Type: 1�//' ��' Estimated Cost: $ yy®®r (Fee Schedule on Back) zi Driveway Curb' Cut Width Needed: Ft. + 6 Ft = Ft x $ -_ $ 23, DATE: ��� C% APPLICANT: Tel. CITY USE ONLY Permit Fee . $ 2�% �Fee Schedule on Reverse Side Fire Surcharge $�� .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $950 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 $ 114,1/ STIPULATIONS: