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PRE 2010 DOCS• • G Date: Nov. 2, 1967 City of Fridley, Mim. BUILDING PERMIT Ll")0')-V N9 953'7 owner: _. $ich,$rd MM_ Laskey Builder Da berg,- B de —s r� Address 1600 75th Ave . N . E. Address 1121 80th Ave. N. E. LOCATION OF BUILDING No. 1600_ Street — 75 gh Ave. part of Lot Lot —1 __ Block 1 Addition or Sub-Division-__._Dalbe�rrace Corner Lot — X Inside Lot ---- ...._ Setback — 35' —_ Sideyard ___26.3' Sewer Elevation ___ 894.25 897.25 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front —4V V Depth 24' Height ._.._8..._ Sq. Ft. Cu. Ft. Garage Front 20Depth 24' Height Sq. Ft. Cu. Ft. Type of Construction Frame Est, Cost 000 __ ______ To be Completed SEWER LOCATION - 67' East of Manhole WATER LOCATION - In the street 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. $100.00xt Sewer Connection Charge In consideration of the payment of a fee of $ 33.06 , permit is hereby granted to Dalberg Blders the express condition that to construct to whom ii� or addition as described above. This permit W� perso granted and his agents, employees and 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. NOTICE: This permit doer not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sero to no the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FR -=LEY, MINNESOTA OWNER'S NAME—Lie � /'.. � �,rZY, BUILDER ei—Cl .ADDRESS. / q ��, %'Sm� � �%��J� ADDRESS �2, N �a �LOCATI©N OF BUILUING� ART OF. LOT LOT BLOCK ADDITION OR SUBDIVISION' j C08NEft` L®T ivsipi r 0' SET84iC r &3i1E+KARD s SEWER ELEVATION FOUNDATION ELEVATION Applicant attach.to this form Two Certificates of Sp"..ey pf.Lot and proposed building Dation dra�.qp t#ese Eerrdfic�tes 17 . {4t I'd :,5 L..1 •. .� ,oy,-'A°C ...._._._...,..Fron- Dept Height r Q. Ft': �'?: 'C11. -Ft Front ® Depth A Height Sq. Ft. /Fro Cu:' Ft 160 Type of Construct r47s Estim$tsd'`os't r'' To Be Completed % The undersigned`•hereby makes application for a permit for the work herein apbci'fied; with.thm City. of Fridley -Ordinances. agreeing to do all work in strict accordance, and rulings of the Department of Buildings$ and hereby.deslares that all the facts and representatICAG.stated in this application are true and correct. - (Schedule of Fee Costs can be found oa the Re rsa Side). _ c � 00 Dalberg Builders, Inc. "Builder of Dependable Homes" December 28, 1967 Building Inspector City of Fridley Fridley, 11innesota To Whom It May Concern: 1121 - BOTH AVE., N. E. MINNEAPOLIS, MINN. SS432 PHONE 784-2720 SAMUEL C. DALBERG, PRES. Regarding the construction of walkout stairs on home at 1600 75th Avenue N. E., Fridley, Minnesota. We are going to install on top of block walls on stairway wrought iron rails, so as to prevent any one from walking across back yard from falling into stairway, we are also going to install hand rail going down the steps in stai-may. In the bottom of stairway, a dry drain is to be installed. Dalberg Builders, Inc. 4Piesamuel C. Dalberg ident SCD/gls 9 46 City ®f Fridleyj, Appliwian for Plumbing and Gas Fe;-Nng Formigv DESCRIPTION OF WORT{ Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE. TOTAL Number Fixtures ...... ............... /-q— x SM $ C a 82'.00 Future Fixture Opening ................ x. ;8-; $1.50 New Fixture Old Opening ............... x Q$ $ $1.50 Catch Basin x 3 25 $ Dept. of Bldgs. Phone 560-3450 Location / 'W*"O D City of Fridley: The undersigned hereby makes application for a permit for the work here! 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, Minn /A — / Z _, 191-7 Owner Kind of Building yJ`P Used as To be completed about Estimated Cost, $ Old ew. Building Permit No ��Permit No. Signe By Business Phone No .... ........ nn Water Heater (Up to n BTUI ...... / x 2 $ 3 , O $3 *00 New Ground Run Old Bldg. ............ — x 3.25 $_ ROUGH Electric Water Heater 42*00 FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... .......... ........ x $1A& $ • 02 $2.00 Additional Fixtures . s�yy................. x �C $ .75 Gas Range to :M06 .............. x X $ $5-00 REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $A9, ®p 42 N I I e Z O WATER HTR. w0 iii o m n 3� o� o V m <3 01 (hoc coo F N GAS ELEC. Base 1st 2nd 3rd 4th-- • Future Connection Openings Connected with * New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE. TOTAL Number Fixtures ...... ............... /-q— x SM $ C a 82'.00 Future Fixture Opening ................ x. ;8-; $1.50 New Fixture Old Opening ............... x Q$ $ $1.50 Catch Basin x 3 25 $ Dept. of Bldgs. Phone 560-3450 Location / 'W*"O D City of Fridley: The undersigned hereby makes application for a permit for the work here! 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, Minn /A — / Z _, 191-7 Owner Kind of Building yJ`P Used as To be completed about Estimated Cost, $ Old ew. Building Permit No ��Permit No. Signe By Business Phone No .... ........ nn Water Heater (Up to n BTUI ...... / x 2 $ 3 , O $3 *00 New Ground Run Old Bldg. ............ — x 3.25 $_ ROUGH Electric Water Heater 42*00 FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... .......... ........ x $1A& $ • 02 $2.00 Additional Fixtures . s�yy................. x �C $ .75 Gas Range to :M06 .............. x X $ $5-00 REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $A9, ®p 42 Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and . Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ �d • d O each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ..................... 3.00 $ 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 Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $� S over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ Dept. of Bldge. Phone 560-3450 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. Owner Kind of Used a: To be completed about Estimated Cost, $ 1� i r, 1 Old uilding Permit No. 4� ' 7 Permit No. �t `�� ew DESCRIPTION OF WORK HEATING or POWE* PLAXTS--Steam, Hot Water, Warm Air—No Trade Name Size Nol � Y Capacity Sq. Ft. �E.D�)R BTU ® H. P. Total Connected Load 4/ ll i/ Kind of F i 1 BURNER — Trade Name Size No Capacity Sq. F't E.D.R I BTU H.P. (REMARKS -OVER) Signed SUBURBAN AIR CONDMOMMOOL By _Rale rrcH?ER DRIVE p1- i I�55.4312 COID042 Business Phone No • City of Fridley, Minn. BUILDING PERMIT Date: Sept. 19, 1968 Owner: Richard Laskey Builder _ Same _. Address 1600 75th Ave. N. E. _ Address Same _ V4C� x s Na 9944 LOCATION OF BUILDING No. 16 00 ____ Street _ _ 75 th Ave . N . E .� _ Part of Lot Lot 1 Block 1 Addition or Sub -Division ._ Dalberg Terrace Corner Lot — Inside Lot Sewer Elevation Setback —_ Sideyard _.— Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Enc 1 os e a basement RoomFront Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost __�400.00—__ To be Completed In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description trove set forth and in co ordinances of the city of Fridley. _ I to do mmislons of In consideration of the payment of a fee of $ 5.00, permit isV.granted to = Richard Laskey 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, shaII conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Official` Building John` NOTICE: 'fids permit doss not cover the Construction, installation for whine, phunhing, 6+s batt, sewer or water. Be sure to no the Building inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER IS NAME ' 0. �( c L q- BUILDER ( a oADDRESS (� C'�% ��— /7L' e lt 6 ADDRESS g,2 1-2-� LOCATION OF BUILDD�ING No. J C''y STREET S 1� ./ LOT BLOCK ADDITION OR SUBDIVISION 4L 1�r + COBWEB LOT _INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOCTING Applicant attach to this form. Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCR.TF'T ON CF BUILDING To Be Used As: Front Depth Height 0. Square feet Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction ­� � Estimated Cost To Be Completed ! ell 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. ` _ \"-I DATE .)0' _ / SIGNATURE (Schedule of Fee Costs can be found on the ReversW'�ideo �� A -r 0-0 �X'.-rtf' z#3;. Y"' 1 SUBJECTN. City of Fridley 3 09;7) AT THE TOP OF THE TWINS BUILDING PERMIT f No � `y ______ COMMUNITY DEVELOPMENT DIV. SEC. (� r PROTECTIVE INSPECTION CITY HALL FRIDLEY 55132 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 -Fl 5 5/12/00 JOB ADDRESS 1600 75 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jay Rosenthal 1600 75 Avenue NE 763-786-7872 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a 16' x 13' Patio Cover on posts with footings 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRE® BY LAW 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 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 $500 @ � WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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 PLAN CHECK FEEL FEE SIGNATURE CONTRACTOR OR AUTHORIZED AGO"(DA9'HE PROP L VALID T THIS IS YWR PERMIT _ SIGNA RE OF OWNERaf OWNER BUILDERI I TEI B G -NSP /TATE NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7-5— 7k A -e- /, zt� " Legal Description: Owner Name & Address: Contractor: bf?'` 0q 31 Effective 1/1/2000 (763) 572-3604 Bldg Insp 9, 32 -- Tel. # 71� 3 -- 71 d `78 z -- MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width - Height Sq. Ft Length Width Height Sq. Ft Length Width _� Hgt/Ground © Sq. Ft OTHER: r COS Construction Type: �'�®E_� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: &-51--100APPLICANT: Tel. # %9; —M -7872 - CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763)572-3604 for Permit Fees if mailing In application $ Fee Schedule on Reverse Side $ % .001 of Permit Valuation (1/10th%) $ -•, $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above Ea $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: pp p, 2( 1 q" lLO 2 ,LIP , 10 f - F �- hnVS sq a h OeOh 1JIIli f'�Orr11Nl� � � LV l � ,' � r( / t �.`'•"� '+idf`/n:lt. "6;5 4•( (JaJStr'w•yvfy 7tf i ENGINEERING, INC. tl %,I 'J �iwl ., Alurre:f�ui 1Jn,e•' J f:l)ia� f ::yweerrny'(/U/'.5 certsficate of surve)r far Da$erj_._nUilder5 Inc. -•� N0P,7N 75th NV ENUE `►`1`S�°o Q �y �`;c'� - 81-34-- `� Ps,di �opD2irE i �7 K ul 26.29" o Oe.170- eS 1i'On 00e LOTSL0'k'_._l_ PALF94f-R6 TE"A,7i /7 SCE hvvbyterh& !ht7� +71/ti !S !) if ae or hi ,i)/I r.! i .'PfH (' fF'�)!,/f f[u' tl ,? +f4'Y'f!f! Dafnr/or'IPS +� ' Thr above G�:.f:t-,bed •atrd, om/ J i ,4, #'� lfu0%to/J f�/O// bwldylr/y , /•lxfCJr: , vA: pii n+:b;r' ":n %t„!c �'rrtr!�r�t t PM/ . / ro” hJ mal /O/Ir� As �Ut veVed A/ tl)f.' !firs . Joq A1f /9 i3 S(/fSl%l.'CfiVV fNii/N£/:k'/NG • INC alp { 4� 7 SUBJECT PERMI City of Fridley 33429 AT THE TOP OF THE TWINS BUILDING P E R M I T iI.. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE Of APPROVED BY A...I CITY HALL FRIDLEY 55432 i -.•- L J� 763-571-3450 910-F15 4/15/03 JOB ADDRESS 1600 75 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jay & Teri Rosenthal 1600 75 Avenue NE 763-786-7872 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renaissance Exteriors 2556 Hwy 10, Mounds View, MN 55112 763-780-2000 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20220285 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION P REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Replace 15-mindows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 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 $ 12,500 $6.25 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 WNY OTHER STATE 011 LOCAL LAW REGULATING CON- $223.25 Fire SC $12.50 ST CT H P AFORMANCE O CONSTRUCTION ` PLAN CHECK FEE TOTAL FEE r ( !!! LicensS,4 $5.0 47.00 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT ,OATEr EN ROP VALIDATED HIS IS /Y UUP PERMIT �) • / %U V 7-( Z.Af.G ,NSP S.GNATUAE OF Ow NER,.F OWNER BUILDER, I ATEi 4� 7 NEW [ ] $ cU 3.dO —Fee Schedule on Reverse Side Effective 1/1/2001 ADDN [ ] State Surcharge CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 $1150 per SAC Unit BUILDING PERMIT APPLICATION $ Construction Address: 100 7Sk-y iv- K) L Alt. "A" or Alt. "B" Above Legal Description: $ $450.00 Conservation Plan Review Park Fee Owner Name & Address: 'Te'g CT'en Rffscr40 16w lsSF Aue w; Tel. # -763-76--WZ. Contractor: M15-5 us IF" I MN LICENSE # 2,02-202,&S Address: - SCZ Lw L 10 r, %A, s yt w Tel. # 763- ZYQ - z 20 0 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: Construction Type: lee t,rr"c" 5 Estimated Cost: $ �Z.► SG�,cao Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ -=$ --)111/03 DATE: APPLICANT: GSI-► s ���'� Tel. # % `1BG- ZciUG CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ cU 3.dO —Fee Schedule on Reverse Side Fire Surcharge $ 0, .001 of Permit Valuation (1/10th%) State Surcharge $ .��� $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 5,0D $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 [ J TOTAL $ d ' 00 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763)571-1287 ADDRESS : 1600 75TH AVE NE PIN : 123024140029 LEGAL DESC : DALBERG TERRACE : LOT 1 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 1,500.00 PERMIT NO.: 2004-00206 bdb DATE ISSUED: 02/13/2004 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 UNIFORM BUILDING CODE WHEN ADDITIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. BASEMENT BATHROOM APPLICANT ROSENTHAL JAY & TERESA 1600 75TH AVE NE FRIDLEY, MN 55432 OWNER ROSENTHAL JAY & TERESA 1600 75TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law renstrucor the p erformance of construction. Annuli an..'17 Date I Bldg Insp BUILDING PERMIT FEE 54.00 FIRE SURCHARGE 1.50 STATE SURCHARGE, VALUE 0.75 TOTAL 56.25 PAID WITH CHECK # 10030 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Ls Owner Name & Address: Contractor: 0 -75°n` AvCTel. # Effective 1/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax MN LICENSE # Tel. # 76 3-714 -717 2 -- Attach 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: 4/4� '- Construction Type: �� �� Estimated Cost: $ 1,9f/-_66— 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: lL. APPLICANT: Tel. #%C3 -7& 1.7� 72-- J Call (763) 572-3604 for Permit Fees if mailing 4dapplication. Fax to 763-571-1287 if using credit card and -'wb * 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 TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] I STIPULATIONS: Bas v,v%en� .al� Ja'y koseA4r 1(000 7s",AYe 4 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 163) 572-3604 FAX: (763) 571-1287 ADDRESS : 1600 75TH AVE NE PIN : 123024140029 LEGAL DESC : DALBERG TERRACE : LOT 1 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00207 DATE ISSUED: 02/13/2004 VALUATION NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL THREE BASEMENT BATHROOM FIXTURES # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT ROSENTHAL JAY & TERESA 1600 75TH AVE NE FRIDLEY, MN 55432 OWNER ROSENTHAL JAY & TERESA 1600 75TH AVE NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 # GAS RANGES 3 # WATER TRMT APPLIANCES AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regula ' construction or the performance of construction. Applicant Date Bldg Insp Date �, PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 10030 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0 0 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 21.50 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective On Jan 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FI MR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 1,i AO IVF New Fixtures Z $ 7.00 21- e (9 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 20_b4l Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes ( ) No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY TEL N0. %fl 7,f7Z- ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge .50 TOTAL FEE $ 2!s S 0 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON V NT- VFNT CQNNFCTQR AND COMBUSTION AIR VFRIFICATION When rela ring an exWongf urs anr_P, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The PAs ing cnmhistinn air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to inc all a n _w _nmh ,c inn air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When "nstaffinn a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: ( 7(33) 571-1287 ADDRESS : 1600 75TH AVE NE PIN : 123024140029 LEGAL DESC : DALBERG TERRACE LOT 1 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT NO.: 2004-00208 DATE ISSUED: 02/13/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. BASEMENT BATH CIRCUIT # INSPECTIONS 1 APPLICANT ROSENTHAL JAY & TERESA 1600 75TH AVE NE FRIDLEY, MN 55432 OWNER ROSENTHAL JAY & TERESA 1600 75TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT ELEC PERMIT FEE - MIN (RESI) TOTAL PAID WITH CHECK # 10030 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.50 20.00 20.50 NEW CITY OF FRIDLEY s� ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION �Z. Al,onstruction Address:....1 (d 00 7S 04 v',c= Azc Legal Description: 1& A L.1'p ` gL.00JA- Owner Name & Address: &U Lob -1i A- d AME Tel. #^7L 3 -7 7 ST.;-- 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 IMPROVEMENT LIVING AREA: Length / Width 3 I Height Sq. Ft GARAGE AREA: Length Width _�_ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: NI 11► e5 10�0 Estimated Cost: $ 2-000, 6)0 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: -21 O APPLICANT: - Tel. # ��3" 7f� `17 7L Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAQ Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $q , Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ � . STIPULATIONS: Building $ BUILDING Permit No.: Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Surcharge Received By: 763-572-3604 CITY OF FRIDLEY $ r v Date Rec'd: Cil License Surcharge DATE D YOUR E-MAIL ADDRESS SITE ADD SS ���o / .4r�e 4 $ THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: ft + 6 ft = ft x $20 = $ TENANTADDRESS: IOD 7. S— CITY STATFf% $? 3Z $450 Conservation Plan Review PHONE:Z6 3 -7 i1 & 71' 7 y ap Park Fee CONTRACTOR NAME: STATE LICENSE # EXP DATE $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE KSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MADn ENANCE/REPAIR gnMODELING DESCRIBE WORK BEING DONE: c v oat SIZE OF IMPROVEMENT LENGTH WIDTH dEIGHT 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• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 200a. 00 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ / 65% of Building Permit Fee , �l Surcharge $ , py (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ r v .001 x Permit Valuation (1/10%) Cil License Surcharge $ $5.00 (State Licensed Residential Contractors) 1 SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 7a , -2S" 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 to start without a permit; that the work will be in accordance with the approved plan in the case of all work w�r_15 uir s review and ap r al of plans. SIGNATURE OF APPLICANT PRINT NAME DATE f% n o F Q-. O M ro -F— Z� S r September 20, 2005 City of Fridley Building Inspections 6431 University Avenue Fridley, MN 55432 To Whom It May Concern: This letter is to request an extension of our building permit that was issued on 2/13/04. Due to issues of time and money the project has been extended. This letter is being provided as discussed with Dave Jensen to request and extension. Thank you for your consideration. Sincerely, Jay P. Rosenthal 1600 75' Ave N.E. Fridley, MN 55432 (763)786-7872