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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 5142 Date: " ." Z Owner: k t1' Builder -- Address _ _ __ _ Address --i-•— L+IOT , OP B ILDING No. Street` _ _ Part 1,o _ Lot Slock_,,rAddition or Sub-DivisiorL - Corner Lot Inside Lot�"•Setback -. �.—__Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To FV Used / ! Front - S /,� Depth Height q. Ft.- Cu. Fti Front - Depth eight t Sq. Ft. � � cu. Ft. Of Construction - " =15—JO Est Cost Ono -m 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. M M 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 ordinances. e") ,oW7 1-n Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to me the Building Inspector for separate pemdts for those hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner's Name jo A ru Pjq- I n t e-1 Builder X1,8 A- [ Y' Address Address% I I 1 �/ S`f °V LOCATION OF BUILDING No. Street F , Part of Lot Lot �T Block Addition or Subdivision, I�� 0 Corner Lot Inside Lot Setback .7 1 Side -Yard I i ` y` SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used a 0 Sq. Ft. ! 2- d Cu. Ft. Front 72, epth Height Sq. Ft. q � 0 Cu. Ft. Type of Construe To be Completed ",'J (A toc— Estimated Cost r 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 al the facts and repr entations stated in this application are true and correct. DATE � G�� � n � � �' � SIGNATU1iZ (A Schedule of Fee Costs can be found on the Reverse SiKe I - , �16 0 . Application for Poorer Plants and. Heating, Coding, Ventilation, ,Refrigeralion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 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 ✓. Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ reach 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 $ 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 FEE ROUGH— OUGH FINAL— FINAL Dept. of Bldgs. Phone SU, 4-7470 Locatfon�� 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. Fr' ey, Plfinn_ 4 19 Owner 92n '/"v Kind of n Used as To be completed about 1 Estimated Cost, $ \ DESCRIPTION OF WORK HEATING or POWER PLANTS—Ste Hot WaWarin No 04 Trade Name °�--�`P C�%ems Size No Capacity Sq. Ft. E.D.R �)`�� BTU H.P. Total Connected Load . °�� Kind of I BURNER — Trade Name Size No Capacity. (REMARKS—OVER) (REMARKS—OVER) Sq. Ft. E.D.R BTU H.P. signPa RAY N .WELTER HEATING [ 4637 CHICAGO "E. ByMINPIE 9 FBI IS • A cV 4a 2M 7-59 Business Phone No- �� `� G R —_� suejECT RMIT NO. City of Fridley 1147 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. 1 L � PROTECTIVE INSPECTION SEC. �AW r ---n CITY HALL FRIDLEY 55432 NUMBER REV DATE PA GE OF APPROVED BY ''' 612-571-3450 9t0-F15 8/19/96 JOB ADDRESS 232 69 Place NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g 3 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eric Larson 232 69 Place NE 586-0684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Smae 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 O ALTERATION J] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace brick front 9 CHANGE OF USE FROM TO STIPULATIONS Building paper behind brick - new brick ties 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 @ r)00 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `P 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$21.00 OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TqrTAf FEE $22.00 BIGNATU OF CONTRACTOR ORAUTHORIZED AGENT IOATEI PR�VALI Mebir. I,-P THIS IS YOUR PERMIT am' - - QATE GNATUREOFOWNERIIFOWNERBUILDERI IIDA EII R —_� l w1ki ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �Z':3 2- 6 9'L� e( t'j E�� Legal Description: Owner Name & Address: Ei?-(C_ LAP,3c�n� Contractor: Address: Effective 3/1/96 Tel. # S Se -C)C& `1 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _Rear, Pn sc,� Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ c.5�, � Driveway Curb Cut Width Needed: _ DATE: APPLICANT: (Cost on Back) Ft. + 6 Ft = Ft x $ Tel. # STIPULATIONS: —E CITY USE ONLY Permit Fee $ o7l 60 Fee Schedule on Reverse Side Fire Surcharge $ - 15'b .001 of Permit Valuation (1/10th%) State Surcharge $ -156 $.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: —E SUBJECT PERM City of Fridley 2 7 7 0 2 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / 1 NUMBER REV DATE 9/10/98 PAGE OF APPROVED By 1 � CITY HALL FRIDLEY 58432 1L 11L.1 �'� _A 612-571-3450 910415 JOB ADDRESS 232 69th Pl NE i LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 3 Rice Creek Plaza, North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eric Larson Same 55432 586-0684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. r. 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 Reside house & garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering 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 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 $1,000.00 $.50 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 TO FEE $36.25 S//1N RE OF CONTRACTOR OR AUTHORIZED AGENT (DATEi HIS IS R PERMIT eEgARIPVALI Bl INV. W naTE SIGN E OF OWNER OF OWNER BUILDER) IOATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:_ Legal Description: Owner Name & Address: xContractor: 7e- Address: 2Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Effective 1/1/98 Tel. # 5-36-0e-5 %(- -nit MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF R"ROVEMENT Length Width Length Width Length Width vtv,I, 4 Driveway Curb Cut Width Needed: DATE: i (o Lw APPLICANT: Ft. + 6 Ft = Height Height Tel. # Sq. Ft. Sq. Ft. I Sq. Ft. 4-1e6 F Estimated Cost: $ 1000 (Fee Schedule on Back) Ft x $ = $ E►Z'ZC, (A4 &j-o� Tel. # k ° SY,S - o&V 17 L,j k : 9S( -r9-7( . STIPULATIONS: CITY USE ONLY Permit Fee $ 3y S Fee Schedule on Reverse Side Fire Surcharge $ / Q Q .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 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 [ J Not Necessary [ ] TOTAL $ - �S . STIPULATIONS: