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PRE 2010 DOCSCity of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 "Z,0 DESCRIPTION OF WORK% / _ r j Number, Kind and Location of Fixtures Locatio 4� _ y m I RA TIP I1' y1 12 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x UN' Z �U' O F • N WATER HTR. GAS ELEC. Base x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ A NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 1st Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer E] Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RA TIP T9P� Number Fixtures ...................... x� $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL City of Fridley: N 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. 19!n� Owner Kind of Building Used as. To be completed' about LL Estimated Cost, $ O Old—New. Building Permit No P;8=1 No. Signe' Business Phone No- ROUGH FINAL l! 2 -1 --7 U 4e -�5-`i �� N? 5223 Origin Permit f®r PIUMBING AND GAS FIWING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that giving number of this request permit.F $ �® inspection shall be phoned in to the plumbing Inspector, 560-3450 for , DESCRIPTION OF WORK Number, Sind and Location of Fixtures Stories 0 m m F O 3 U q 6 z m m t z m m Ol Y rh = q m Y 3 F Y~ Z 0= O O W q w O = N O: m O a J C LL p i U f m 6 6 U M ; Z X C J m f 4 e a < 0. t9 Q W m t Q 4 G M WATER HTR. GAS ELEC. Basement / ist 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for O—ings Permission is hereby granted to do the plumbing and gas fitting in the building des d in the ktatement hereto attache, upon the express condition that the person to whom this permit is granted, and his agents, employe and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date inspector. Final Inspection Date „ A .. Inspector. az ist-s�9.v City of Fridley Alb V6m,96 e a3 ,1910 Owner Y,e d A✓O,e 7-o /if Location 11,69 - 226CIE Kind of Building J�� Used as To be Completed '19— Estimated 19_ Estimated Cost $ 6611,06 Old ew. Building Permit Date Inspector of Buildings. u l SUBJECT PERMIT NO. City of Fridley ® 4668 AT THE TOP OF THE TWINS BU I L D I N G PERMIT ` EIPT NO. �y _ __. COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/3/78 JOB ADDRESS 1667 - 73rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 Par el 630 Auditor's Sub. #108 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gene C. Sockish 1667 - 73rd Avenue N.E. 784-0367 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 a 31' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Applicant agrees to reduce size of existing accessory building to 236 square feet maximum or obtain by August 15, 1978 by Special Use Permit. Provide hard surface driveway by Oct. 10, 1979. Provide detail section drawing before pouring concrete. :SEPERATE PERMITS REQUIRED 'FOR W1RINC4 WRR�g�� HEATING, PLUMBING AND Sl Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Tame 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 TYPE OF WORK WILL BE $6,255 $3'13 WITH WHETHER SPECIE EDNING HER INIOR NOT. THE GRANTING OF AOPERMIT 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- $34.56 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $37.69 SIG UREOFCONT TOROI LITHO ZEDAGENT (DATE) _ WHJA PROPERLY VLALI ATE THIS IS YOUR PERMIT BLDG )NSP o2 L DATE fSIC71NATURE OF OWNER IIF OWNER BUILDER) (DATE) u l CITY OF FRIDLEY APPLICATION 1011 RE-1111111TIAL BUILDING PERMITS (NEW, ALTERATIns, ADDITIONS, OR REPAIRS) OWNER: �' BUILlli;R: Address . /4Z7 p % Af x-- Address: Z6e "i ' , Id &4 Alf-" Tel. No.: No. �� Street: 0 LOT: ! BLACK: _ ADDITION: CORNER LOT: .IUSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: _ Depth: Height: /(j Square Feet: 8� g Cubic Feet: &--/D Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: /,,j, Estimated Cost: $ To Be Completed:6) � � 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: SIGNATURE: Stipulations: A44 6 lg /4 ,d Ace «, SUBJECT .--- PE 0. City of Fridley 15.3.4 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N • : ------ COMMUNITY DEVELOPMENT DIV. ii r PROTECTIVE INSPECTION SEC. � f_ g �/ 1 1 = � CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/18/79 JOB ADDRESS 1667 73rd Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10, Parc 1 630 Auditor's Subdivision #108 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gene C. Fleming 1667 - 73rd Avenue N.E. 784-0367 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 a 20' x 24' Addition to Side of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS "TMINU 8elon dkft tail Iml utilities 'tEi,EPNONE - ELECtK - GAS Etc. SEaL* . TE PERMITS REQUIRED FOR PARIM REQUIRED BY LAW HEATING% PLUMBING ANO SIGt& 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 480 9600 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 $14,600 $7.30 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $90.00 NONE PLAN CHECK FEE TOTALFEE 22.50 $119.80 SI MATURE OF CO(NNTiRACT O AUTHORIZED AGENT (DATE) ` WHEN PROPERLY THIS IS YOUR PERMIT S /VALIDATED I. � x Www_"-� / � ! BLDG INSP TATE S NA URE OF OWNER tI F 0W ER UILDERt IDATEI - CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: C� ADDRESS: 1�G 7 7 3Ald d ? Al- r TEL NO: -)FY- e 36 7t BUILDER: ADDRESS: TEL NO: Construction Location STREET NO:VREET: LOT: ® BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION f s �DOI T%"j Front: ? CJ Depth: 2 Height: aa -R-.) cb quare Feet: V Cubic Feet: v Front: Depth: Height: Square Feet: Cubic Feet: Type2Lkl — r f t vV1 $ of Construction: „ Estimated Cost: 9.b Be Completed: �AMO&J%&!3 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 re true andcoect. , DATE: �7 - %� SIGNATURE: Stipulations: v E� �� >< sob = a y z�•F�d Re 191. 20 _ GIS A (Dua 4 a. oa -42-S-6 .. � Yn �� ', r. i .-. - "- ... _. .�" R��=o'i� ... _. _. _.. ,�... __:� ��:..._---a...,-....... _..,_�._+e ..� __�.�.., ....�.rr--.�..,�. .-....,.._ vc.�.._r..�...—...d... su._....:...... ._..��+__...,..,..-...,....�. .a_�.n.c, s� n { . .. _ •. , . �.-�.��_ Merl � ®"�•..� �z�n.a G�v.E ,�v�A� 6 ,,:. ,: ;., ,, .. �l ;� M ra -.. .. :�...�r.....�u.�•m' .._�wv. �,,. iva�:-.,. ,.�,�,� ,_ X11._ _ y..,ru3'P. 'J ... -�.. � .,: �� .a1tiL .:n : �... ,.. i-�'=: ._._4.'.:�u`.:�.a'=-.a:... .>.s-�..-_�Y'�e.- 7LA'.'.' �� O� J 1�6�• 73 rdf/iF iJf 4 L X00 01) SUBJECT R O. City of Fridley 3 2 �66 6 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. Ir — —«-- SEC. PROTECTIVE INSPECTION CITY HALL FRIDLEY 55432 NUMBEii pEV DATE PAGE O: APPROVED BY '� L J` 612-571-3450 910-F15 6/6/02 JOB ADDRESS 1667 73 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 Auditor's Subdivision #108 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Susan J/Michael R Tipler 1667 73 Avenue NE 763-783-1887 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 Q ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (14 Sq) Tear -off; Reroof Garage (14 Sq) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be 2nd -layer but not 3rd. 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 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT f 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 $2,627 $1.32 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 W PLAN CHECK FEE TOT L FEE $'$7.22 So F C,I Rq .TOR�,U,TMOAI NT IDATE, E PROP VALID TE THIS I�i R P - +M� If S-GNATUAE F OVVNERI,F OWNER'U LDER Bl INSA r)ATE 01) NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: rD AV 7:;1 I�i. �'7] 3z Legal Description: Owner Name & Address: SusA"T MVLfi-a, R. � P L C i� Tel. %f � 76 3 " 1 �g � Contractor. - �nw, 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 Wf 6 GARAGE AREA: Length DECK AREA: ALLentmhOTH€R: I4 -%VA Width Height Sq. Ft l % Z W4th HgyGround Sq. Ft TA, -4k orP " 6ARA&C -- Construction Type: Estimated Cost: PE Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x = $� DATE:®®� APPLICANT: Tel. 7� 7,63 —M -(S:7 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: Building BUILDING Permit No?- ,X _ CnspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: SATE YOUR E-MAIL ADD S >ITE ADDRESS V G • N PHIS APPLICANT IS: XpWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: 5 0590 M LC R - TENANT ADDRESS:73 RDCITY rRZD STAT VzlP 6'5 43 Z PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION p O FAX PROPERTY TYPE INGLE FAMIL SIZE TWO FAMILY/NEW CONSTRUCTION STORIES `I PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: , D G caclno G ST66- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: amino 13❑ Trim L Site Plan/Survey showing the existing structures Other nz 5� ❑ Fascia and proposed project RMOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF'WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USE149.U. J( jFEE SCHEDULE TOTAL JOB VALUATION $ ,.� �— OCCUPANCY TYPE Permit Fee $l�'; �� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ , Agreement necessary ( ) Non Necessary ( ) Total Due $ 7n Make checks payable to: City of Fridley Attach Stipulations 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 an application for a permit and- work is not t mut a permit; that the work will be in accordance with the approved plan in the case of all work w air ,rpvie val of plans. SIGNATURE OF APPLICANT%